Journal of Yeungnam Medical Science

영남대 의대 학술지 편집위원회 (Yeungnam University College of Medicine, Yeungnam University Institute Medical Science)
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Septic arthritis of the hip joint caused by Klebsiella pneumoniae: a case report

  • Jeong-Bo Moon (Department of Physical Medicine and Rehabilitation, Sahmyook Medical Center ) ;
  • Jun-Hwan Lee (Department of Physical Medicine and Rehabilitation, Sahmyook Medical Center ) ;
  • Byung-Ju Ryu (Department of Physical Medicine and Rehabilitation, Sahmyook Medical Center )
  • 투고 : 2021.11.16
  • 심사 : 2021.11.22
  • 발행 : 2023.04.30
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초록

Klebsiella pneumoniae is an uncommon cause of septic arthritis in adults. However, late detection can cause serious complications, including joint destruction and immobility. The purpose of this study was to report a case of successfully treated septic arthritis of the hip joint (SAHJ) caused by K. pneumoniae. A 49-year-old female patient presented to our hospital with fever and progressive severe pain in the right hip area. Although there was no abnormality on plain radiographs, ultrasonography revealed diffuse swelling of the right hip joint. Under ultrasonography guidance, the hip joint fluid was aspirated, and Gram staining and culturing were performed. The patient's pain was significantly reduced after the joint aspiration. The Gram staining and culturing revealed gram-negative bacilli, which were subsequently identified as K. pneumoniae. According to the results, systemic intravenous antibiotic (ceftriaxone) was administered without complications, and the patient was discharged on oral antibiotic (ciprofloxacin). Clinical cases of septic arthritis of the knee or sacroiliac joint have been occasionally reported in adults, but cases of SAHJ are rare. Moreover, K. pneumonia-induced SAHJ has not been reported to date. Therefore, we report this very rare case and its successful treatment.

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참고문헌

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