Repeated arthrocentesis in a cirrhotic patient: A rare case of Klebsiella pneumoniae septic arthritis of the knee

Feng Chih Kuo, Tsung Yun Hou

Research output: Contribution to journalArticle

Abstract

Klebsiella pneumoniae septic arthritis in elderly patients with liver cirrhosis is rare. We describe a 65-year-old cirrhotic male who suffered initially from bronchopneumonia. However, a painful disability of the left knee developed three days later. K. pneumoniae was immediately cultured from the blood and then isolated from the joint fluid two weeks later by repeated arthrocentesis. Arthroscopic irrigation with closed tube drainage was arranged immediately with good recovery. These findings highlight the importance of repeated synovial fluid analyses in cirrhotic patients with septicemia and persistent swollen, painful joints for early diagnosis of septic arthritis. Here, we report a rare case of K. pneumoniae septic arthritis of the knee in a cirrhotic patient.

Original languageEnglish
Pages (from-to)41-43
Number of pages3
JournalJournal of Medical Sciences (Taiwan)
Volume33
Issue number1
DOIs
Publication statusPublished - Mar 7 2013
Externally publishedYes

Keywords

  • Arthrocentesis
  • Klebsiella pneumoniae
  • Liver cirrhosis
  • Septic arthritis

ASJC Scopus subject areas

  • Medicine(all)

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