Archives of Orthopaedic and Trauma Surgery

, Volume 130, Issue 3, pp 381–384 | Cite as

Septic arthritis of the knee caused by antibiotic-resistant Acinetobacter baumannii in a gout patient: a rare case report

Arthroscopy and Sports Medicine

Abstract

Over recent years, the incidence of infection caused by antibiotic-resistant Acinetobacter baumannii (a conditional pathogenic bacterium) has showed an increasing trend in such hospital departments as ICUs. Infections caused by antibiotic-resistant A. baumannii have drawn much attention from the medical professionals because it is difficult to manage such infections, and because the mortality related to such infections is high. To date, no cure of gouty arthritis and septic arthritis meanwhile complicated by antibiotic-resistant A. baumannii infection has been reported. We cured such a patient of intractable knee infection caused by A. baumannii resistant to all conventional antibiotics including imipenem by taking comprehensive measures including surgery, and infection did not recur during the 14-month follow-up.

Keywords

Septic arthritis Knee Acinetobacter baumannii Gout Infection 

References

  1. 1.
    Falagas ME, Karveli EA (2007) The changing global epidemiology of Acinetobacter baumannii infections: a development with major public health implications. Clin Microbiol Infect 13:117–119PubMedGoogle Scholar
  2. 2.
    Whitman TJ, Qasba SS, Timpone JG, Babel BS, Kasper MR, English JF, Sanders JW, Hujer KM, Hujer AM, Endimiani A, Eshoo MW, Bonomo RA (2008) Occupational transmission of Acinetobacter baumannii from a United States serviceman wounded in Iraq to a health care worker. Clin Infect Dis 47:439–443CrossRefPubMedGoogle Scholar
  3. 3.
    Clawson DK, Dunn AW (1967) Management of common bacterial infections of bones and joints. J Bone Joint Surg Am 49:164–182PubMedGoogle Scholar
  4. 4.
    Shaw BA, Kasser JR (1990) Acute septic arthritis in infancy and childhood. Clin Orthop Relat Res 257:212–225PubMedGoogle Scholar
  5. 5.
    Al-Ahaideb A (2008) Septic arthritis in patients with rheumatoid arthritis. J Orthop Surg Res 29:33CrossRefGoogle Scholar
  6. 6.
    Ross JJ (2005) Septic arthritis. Infect Dis Clin North Am 19:799–817CrossRefPubMedGoogle Scholar
  7. 7.
    Mathews CJ, Kingsley G, Field M, Jones A, Weston VC, Phillips M, Walker D, Coakley G (2007) Management of septic arthritis: a systematic review. Ann Rheum Dis 66:440–445PubMedGoogle Scholar
  8. 8.
    Atkins BL, Bowler IC (1998) The diagnosis of large joint sepsis. J Hosp Infect 40:263–274CrossRefPubMedGoogle Scholar
  9. 9.
    del-Mar Tomas M, Cartelle M, Pertega S, Beceiro A, Llinares P, Canle D, Molina F, Villanueva R, Cisneros JM, Bou G (2005) Hospital outbreak caused by a carbapenem-resistant strain of Acinetobacter baumannii: patient prognosis and risk-factors for colonisation and infection. Clin Microbiol Infect 11:540–546CrossRefPubMedGoogle Scholar
  10. 10.
    Poirel L, Lebessi E, Héritier C, Patsoura A, Foustoukou M, Nordmann P (2006) Nosocomial spread of OXA-58-positive carbapenem-resistant Acinetobacter baumannii isolates in a paediatric hospital in Greece. Clin Microbiol Infect 12:1138–1141CrossRefPubMedGoogle Scholar
  11. 11.
    Brauers J, Frank U, Kresken M, Rodloff AC, Seifert H (2005) Activities of various beta-lactams and beta-lactam/beta-lactamase inhibitor combinations against Acinetobacter baumannii and Acinetobacter DNA group 3 strains. Clin Microbiol Infect 11:24–30CrossRefPubMedGoogle Scholar
  12. 12.
    Fournier PE, Richet H (2006) The epidemiology and control of Acinetobacter baumannii in health care facilities. Clin Infect Dis 42:692–699CrossRefPubMedGoogle Scholar
  13. 13.
    Jerome JT, Sankaran B, Thirumagal K (2007) Carpal bone involvement in gout. Arch Orthop Trauma Surg 127:971–974CrossRefPubMedGoogle Scholar
  14. 14.
    Tsai CH, Chen YJ, Hsu HC, Chen HT (2009) Bacteremia coexisting with tophaceous gout of the spine mimicking spondylodiscitis: a case report. Spine 34:E106–E109CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  1. 1.Centre for Joint Surgery, Southwest HospitalThe Third Military Medical UniversityChongqingChina
  2. 2.Department of Pharmacy, Southwest HospitalThe Third Military Medical UniversityChongqingChina

Personalised recommendations