Joint infection due to Raoultella planticola: first report.
The genus Raoultella has been separated from the genus Klebsiella in 2001. Two main species are responsible for human infections: R. ornithinolytica and R. planticola. The most frequent infections due to R. planticola include cystitis, pneumonia and bacteremia (mostly in immunocompromised hosts). To date, no joint or bone infection has been reported. We describe the first case of septic arthritis due to R. planticola following an arthroscopy with intra-articular injection of corticosteroids. Evolution was favorable after arthroscopic lavage and antibiotic therapy with quinolones. Raoultella planticola has been described rarely in human infection. It is mainly deemed responsible for cystitis, pneumonia and bacteremia (mostly in immunocompromised hosts) [1-3]. To our knowledge no case of bone or joint infection has been reported. We described here the first case of infective arthritis due to R. planticola involving a native knee joint following synovectomy and intra-articular injection of corticosteroids during arthroscopy.
Hôpital Joseph Ducuing, Toulouse, France. emid@hjd.asso.fr.
E
http://orcid.org/0000-0002-4030-7248
E
Bonnet
Clinique Toulouse Lautrec, Albi, France.
F
F
Julia
Hôpital Joseph Ducuing, Toulouse, France.
G
G
Giordano
Groupe Hospitalier Saint-Joseph, Paris, France.
J
J
Lourtet-Hascoet
D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology; D001182:Arthroscopy; D004755:Enterobacteriaceae / Q000302:isolation & purification*; D004756:Enterobacteriaceae Infections / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology; D006801:Humans; D007270:Injections, Intra-Articular; D008297:Male; D008875:Middle Aged; D000074402:Synovectomy; D016896:Treatment Outcome; D014221:Triamcinolone / Q000008:administration & dosage
D000305:Adrenal Cortex Hormones; D014221:Triamcinolone
Arthritis; Arthroscopy; Quinolones; Raoultella