title: A case of unusual septic knee arthritis with Brucella abortus after arthroscopic meniscus surgery.
abstract: We present a 51-year-old male patient with Brucella abortus septic arthritis in the right knee following arthroscopic meniscus surgery. He had eaten a traditional dish of raw minced cattle conceptus (bovine fetus) that was prepared after the cow was slaughtered. Despite treatment with empirical antibiotics and debridement of the postoperative surgical wound, the infection persisted without improvement. Polymerase chain reaction sequencing identified Brucella abortus from tissue samples obtained from the patient. After confirmation of the diagnosis of brucellar infection, antibiotics were replaced with doxycycline and rifampin, which were used for 4 months. In patients with a non-specific arthralgia who eat raw meat or live close to animals, it is important to consider the possibility of septic arthritis due to infection with Brucella spp.
authors.affiliation: Jeju National University Faculty of Medicine, Department of Microbiology and Immunology, Jeju, Republic of Korea.
authors.forename: Keun Hwa
authors.initials: KH
authors.lastname: Lee
authors.affiliation: Jeju National University Faculty of Medicine, Department of Orthopedic Surgery, Jeju, Republic of Korea.
authors.forename: Hyunseong
authors.initials: H
authors.lastname: Kang
authors.affiliation: Jeju National University Faculty of Medicine, Department of Orthopedic Surgery, Jeju, Republic of Korea.
authors.forename: Taejung
authors.initials: T
authors.lastname: Kim
authors.affiliation: Jeju National University Faculty of Medicine, Department of Orthopedic Surgery, Jeju, Republic of Korea. swchoi1115@gmail.com.
authors.forename: Sungwook
authors.initials: S
authors.lastname: Choi
mesh_terms: D001170:Arthritis, Infectious / Q000188:drug therapy*; D001182:Arthroscopy / Q000009:adverse effects*; D002003:Brucella abortus / Q000302:isolation & purification*; D002006:Brucellosis / Q000188:drug therapy*; D004318:Doxycycline / Q000008:administration & dosage; D006801:Humans; D007717:Knee / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D008297:Male; D000072600:Meniscus / Q000601:surgery*; D008875:Middle Aged; D012293:Rifampin / Q000008:administration & dosage
chemical_list: D004318:Doxycycline; D012293:Rifampin