title: Pyogenic knee arthritis caused by group A β-hemolytic Streptococcus: a toxic shock-prevented case.
abstract: Pyogenic knee arthritis caused by group A β-hemolytic Streptococcus (GAS) is rare. GAS sometimes causes group A β-hemolytic streptococcal toxic shock syndrome. We encountered a case of pyogenic knee arthritis caused by GAS that resolved after appropriate treatment (emergency arthroscopic synovectomy and medication) administered within 48 h of onset. In cases of a history of another infection with acute knee joint pain, the possibility of GAS-induced pyogenic knee arthritis should be considered, and proper treatment should be administered immediately.
authors.affiliation: Department of Orthopedic Surgery, Kurume University Medical Center.
authors.forename: Masafumi
authors.initials: M
authors.lastname: Goto
authors.forename: Masafumi
authors.initials: M
authors.lastname: Gotoh
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Mitsui
authors.forename: Hideaki
authors.initials: H
authors.lastname: Shibata
authors.forename: Takahiro
authors.initials: T
authors.lastname: Okawa
authors.forename: Fujio
authors.initials: F
authors.lastname: Higuchi
authors.forename: Naoto
authors.initials: N
authors.lastname: Shiba
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001170:Arthritis, Infectious / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy*; D001182:Arthroscopy; D003131:Combined Modality Therapy; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D007719:Knee Joint / Q000382:microbiology / Q000601:surgery*; D012772:Shock, Septic / Q000382:microbiology / Q000517:prevention & control*; D013290:Streptococcal Infections / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy*; D013297:Streptococcus pyogenes / Q000187:drug effects* / Q000302:isolation & purification / Q000472:pathogenicity; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents