Skip to main content

Advertisement

Log in

Corynebacterium septic arthritis of the knee presenting as a ruptured septic popliteal cyst

  • Case Report
  • Published:
European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

A rare case of a septic knee arthritis presenting as an infected ruptured popliteal cyst is described. Infection of a popliteal cyst is an uncommon complication of septic arthritis and presentation can mimic that of an acute deep vein thrombosis, leading to delay in diagnosis and treatment. Of interest, the typical hallmarks of infection and haematological markers of inflammation were all unremarkable in the current case. This case was of additional interest in that there have been no reports in the literature of Corynebacterium spp. being isolated from an infected popliteal cyst. Invasive infections caused by Corynebacterium spp. seem to have a predilection for patients who are immunocompromised. It is especially important in this subset of patients that delays in diagnosis are avoided by including it in the differential of an immunocompromised patient presenting with unilateral lower-extremity pain and swelling.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Tashjian RZ, Nickisch F, Dennison D. Ruptured septic popliteal cyst associated with psoriatic arthritis. Orthopedics. 2004;27(2):21–233.

    Google Scholar 

  2. Drees C, Lewis T, Mossad S. Baker’s cyst infection: case report and review. Clin Infect Dis. 1999;29:276–8.

    Article  CAS  PubMed  Google Scholar 

  3. Barakett V, Morel G, Lesage D, Petit JC. Septic arthritis due to a nontoxigenic strain of Corynebacterium diphtheriae subspecies mitis. Clin Infect Dis. 1993;17(3):520–1.

    CAS  PubMed  Google Scholar 

  4. Tiley SM, Kociuba KR, Heron LG, Munro R. Infective endocarditis due to nontoxigenic Corynebacterium diptheriae: report of seven cases and review. Clin Infect Dis. 1993;17(6):1072–4.

    Google Scholar 

  5. Soriano F, Rodriguez-Tuela JL, Fernández-Roblas R, Aguado JM, Santamaria M. Skin colonization by Corynebacterium groups D2 and JK in hospitalized patients. J Clin Microbiol. 1988;26(9):1878–80.

    CAS  PubMed  Google Scholar 

  6. Guran P, Mollaret HH, Chatelain R, Gropman M, Prigent F, Beal G. Septic arthritis due to a nontoxigenic diphtheria bacillus. Arch Fr Pediatr. 1979;36(9):926–9.

    CAS  PubMed  Google Scholar 

  7. Appelbaum PC, Dossett JH. Arthritis caused by unidentified gram-positive rods in a child with acute lymphocytic leukaemia. J Clin Microbiol. 1982;15:525–7.

    CAS  PubMed  Google Scholar 

  8. Scholle D. A spontaneous joint infection with Corynebacterium striatum. J Clin Microbiol. 2007;45(2):656–8.

    Article  PubMed  Google Scholar 

  9. Kemp M, Holtz K, Andresen K, Christensen JJ. Demonstration by PCR and DNA sequencing of Corynebacterium pseudodiphtheriticum as a cause of joint infection and isolation of the same organism from a surface swab specimen from the patient. J Med Microbiol. 2005;54:689–91.

    Article  CAS  PubMed  Google Scholar 

  10. Clarke R, Qamruddin A, Taylor M, Panigrahi H. Septic arthritis caused by Corynebacterium amycolatum following vascular graft sepsis. J Infect. 1999;38(2):126–7.

    Article  CAS  PubMed  Google Scholar 

  11. Mannino M, Marino C, Chawla K. Ruptured pyogenic baker’s cyst. J Natl Med Assoc. 1988;80:1018–20.

    CAS  PubMed  Google Scholar 

  12. Richards AJ. Ruptured popliteal cyst and pyogenic arthritis. BMJ. 1981;282:1120.

    Article  CAS  PubMed  Google Scholar 

  13. Schroeder HPV, Ameli FM, Piazza D, Lossing AG. Ruptured baker’s cyst causes ecchymosis of the foot: a differential clinical sign. J Bone J Surg Br. 1993;75:316–7.

    Google Scholar 

Download references

Conflict of interest statement

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to D. D. Kosuge.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kosuge, D.D., Teare, L. & MacDowell, A. Corynebacterium septic arthritis of the knee presenting as a ruptured septic popliteal cyst. Eur J Trauma Emerg Surg 36, 597–599 (2010). https://doi.org/10.1007/s00068-010-0025-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00068-010-0025-x

Keywords

Navigation