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PubMed · 3608272

Staphylococcus epidermidis septic arthritis post arthroscopy.

Abstract

A 61 year-old man developed painful swelling of his right knee shortly after arthroscopy of the joint. Synovial fluid analysis revealed a polymorphonuclear leukocytosis of 51,600 X 10(6) cells/litre and culture grew Staphylococcus epidermidis. He responded favorably to 4 weeks of intravenous therapy with cloxacillin. S. epidermidis, an important cause of prosthetic joint infection, must be considered a potential pathogen in other joint infections.

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B Toye, J Thomson, J Karsh. Staphylococcus epidermidis septic arthritis post arthroscopy.. https://pubmed.ncbi.nlm.nih.gov/3608272/

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A 50-year-old man with alcoholic liver disease presented with fever, tenosynovitis, polyarthritis and a vasculitic rash on the hands and feet for 4 days. He had neutrophilia and raised inflammatory markers. He had no history of sore throat, urethral discharge or travel abroad. His initial blood cultures were negative, and he was treated for vasculitis with steroids. The rash and arthritis seemed to improve initially, but he had another episode of fever. Repeat blood cultures grew Neisseria gonorrhoeae,and he received intravenous ceftriaxone followed by oral ciprofloxacin. He had marked improvement in rash, tenosynovitis and arthritis, and the fever dropped. He also had chlamydial urethritis and received azithromycin. The presentation of disseminated gonococcal infection after a presumptive episode of asymptomatic urethral gonorrhoea is highlighted.

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