Abstract
Septic arthritis is a rapidly destructive form of joint disease. The most common causative agents in children are Staphylococcus aureus and Kingella kingae, followed by group A Streptococcus and Streptococcus pneumoniae, and in neonates, enterobacteracea and group B Streptococcus. In this paper, we describe a previously healthy toddler with septic arthritis of the shoulder joint caused by Brevundimonas vesicularis. Prompt treatment with cefuroxime resulted in a full recovery. This is the first report of septic arthritis in humans caused by this microorganism, and the first description of B. vesicularis infection in an immunocompetent child.
References
Calegari L, Gezuelle E, Torres E, Carmona C (1996) Botryomycosis caused by Pseudomonas vesicularis. Int J Dermatol 35(11):817–818
Chi CY, Fung CP, Wong WW, Liu CY (2004) Brevundimonas bacteremia: two case reports and literature review. Scand J Infect Dis 36(1):59–61
Clark WA, Hollis DC, Weaver RE (1984) Identification of unusual pathogenic gram-negative aerobic and facultatively anaerobic bacteria. Centers for Disease Control, US Department of Health and Human Services, Atlanta, Georgia
Gilad J, Borer A, Peled N, Riesenberg K, Tager S, Appelbaum A, Schlaeffer F (2000) Hospital-acquired brevundimonas vesicularis septicaemia following open-heart surgery: case report and literature review. Scand J Infect Dis 32(1):90–91
Gilligan PH, Whittier S (1999) Burkholderia, Stenotrophomonas, Ralstonia, Brevundimonas, Comamonas, and Acidovorax. In: Murray PR, Baron EJ, Pfaller MA, Tenover FC, Yolken RH (eds) Manual of clinical microbiology, 7th edn. American Society for Microbiology, Washington, DC, pp 526–538
Gutierez KM (2003) Infectious and inflammatory arthritis. In: Long SR, Pickering LK, Prober CG (eds) Principles and practice of pediatric infectious diseases, 2nd edn. Churchill Livingstone, New York, pp 475–479
Kaandorp CJ, Dinant JH, van de Laar MA, Moens HJ, Prins AP, Dijkmans BA (1997) Incidence and sources of native and prosthetic joint infection: a community based prospective survey. Ann Rheum Dis 56(8):470–475
Lampe RM (2004) Osteomyelitis and suppurative arthritis. In: Behrman RE, Kliegman RM, Jenson HB (eds) Nelson textbook of pediatrics, 17th edn. Elsevier, Philadelphia, pp 2297–2298
Oberhelman RA, Humbert JR, Santorelli FW (1994) Pseudomonas vesicularis causing bacteremia in a child with sickle cell anemia. South Med J 87(8):821–822
Petersen P (2001) Bacteria. In: Diagnosis and management of infectious diseases 2001:9. Wordnet, Brisbane, Australia
Vanbolder R, Vanhaecke E, Ringior S, Riesenberg K, Tager S, Appelbaum A, Schlaeffer F (1992) Pseudomonas septicemia due to deficient disinfectant mixing during reuse. Int J Artif Organs 15(1):19–24
Yagupsky P, Dagan R (1997) Kingella kingae: an emerging cause of invasive infections in young children. Clin Infect Dis 24(5):860–866
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Sofer, Y., Zmira, S. & Amir, J. Brevundimonas vesicularis septic arthritis in an immunocompetent child. Eur J Pediatr 166, 77–78 (2007). https://doi.org/10.1007/s00431-006-0216-y
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DOI: https://doi.org/10.1007/s00431-006-0216-y