scholarly journals Group B streptococcus septic arthritis of the hip following spontaneous abortion

2018 ◽  
pp. bcr-2017-223383
Author(s):  
Madeline Lyons ◽  
Elizabeth Zielinski ◽  
Jibanananda Satpathy
Keyword(s):  
Septic Arthritis ◽  
Spontaneous Abortion ◽  
Group B Streptococcus ◽  
Group B

Septic Arthritis of the Hip Caused by Group B Streptococcus in a Postpartum Patient

2012 ◽  
Vol 2 (4) ◽  
pp. e62 ◽  
Author(s):  
Anokhi D. Mehta ◽  
Kathleen S. Beebe ◽  
Daniel A. Seigerman ◽  
John D. Koerner ◽  
John S. Hwang ◽  
...  
Keyword(s):  
Septic Arthritis ◽  
Group B Streptococcus ◽  
Group B

scholarly journals Diffuse-Type Tenosynovial Giant Cell Tumor of the Knee with Concurrent Polymicrobial Infection (Klebsiella oxytoca and Group B Streptococcus)

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
J. Hunter Marshall ◽  
John G. Skedros ◽  
Chris F. Campana ◽  
Allan M. Seibert
Keyword(s):  
Septic Arthritis ◽  
Giant Cell ◽  
Klebsiella Oxytoca ◽  
Group B Streptococcus ◽  
Pigmented Villonodular Synovitis ◽  
Acute Onset ◽  
Left Knee ◽  
Diffuse Type ◽  
Giant Cell Tumors ◽  
Group B

Tenosynovial giant cell tumors (TGCT) are a rare class of benign proliferative tumors that are classified according to their presentation: localized-type (L-TGCT) or diffuse-type (D-TGCT). TGCT is synonymous with pigmented villonodular synovitis (PVNS). We describe the unique case of a 56-year-old obese male with type 2 diabetes who had polymicrobial septic arthritis of his left knee joint with concurrent D-TGCT in the same knee. While on a vacation, he noticed spontaneous left knee pain and swelling with an acute onset of fever. He was diagnosed with septic arthritis that was attributed to hematogenous spread from a leg laceration. The septic arthritis was treated with arthroscopic lavage and debridement, including simultaneous excision of the D-TGCT lesions, followed by intravenous ceftriaxone. Cultures of the synovial tissue that were obtained during arthroscopy grew Klebsiella oxytoca and beta-hemolytic (group B) Streptococcus agalactiae. We were not able to find another reported case of any joint with (1) a polymicrobial bacterial infection that included Klebsiella oxytoca and (2) concurrent bacterial septic arthritis and TGCT.

scholarly journals Group B streptococcus is the most common pathogen for septic arthritis with unique clinical characteristics: data from 12 years retrospective cohort study

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Rungkan Ruksasakul ◽  
Pongthorn Narongroeknawin ◽  
Paijit Assavatanabodee ◽  
Sumapa Chaiamnuay
Keyword(s):  
Septic Arthritis ◽  
Rainy Season ◽  
Associated Factors ◽  
Group B Streptococcus ◽  
Joint Involvement ◽  
Bacterial Group ◽  
Bacterial Arthritis ◽  
Common Pathogen ◽  
Clinical Presentations ◽  
Group B

Abstract Background Group B Streptococcus (GBS) emerged as the frequent pathogen for septic arthritis. There was no study comparing risks, clinical presentations and outcomes between GBS septic arthritis and other bacterial septic arthritis. The aim of this study is to evaluate the differences in risks, clinical presentations, and outcomes of GBS septic arthritis and other bacterial septic arthritis, and identify independent risks and clinical presentations suggesting GBS septic arthritis. Method Medical records of patients diagnosed with non-gonococcal bacterial arthritis admitted in Phramongkutklao Hospital during 2006–2018 were reviewed. Associated risks, clinical presentations and outcomes were compared between GBS septic arthritis (GBS group) and other bacterial septic arthritis (other bacterial group). Result Two hundred and thirty one cases of non-gonococcal bacterial arthritis confirmed by positive joint fluid cultures and/or hemocultures were included. The three most common pathogens were GBS (37.7%), Staphylococcus aureus (23.4%) and Streptococcus viridans (7.4%). GBS group was more commonly found in rainy season than other bacterial group. Patients in GBS group were less likely to have underlying diseases and had more number of involved joints than those in other bacterial group. The clinical presentations more commonly found in GBS group than other bacterial group were oligo-polyarthritis, upper extremities joint involvement, axial joint involvement, tenosynovitis and central nervous system involvement. Multivariate analysis found the independent associated factors of GBS arthritis are tenosynovitis, oligo-polyarthritis and rainy season. Conclusions GBS is now the most common pathogen for bacterial septic arthritis. The independent associated factors of GBS arthritis were oligo-polyarthritis, tenosynovitis and rainy season.

scholarly journals 260. A Rare Case of Severe Group B Streptococcal Infection with Toxic Shock-like Syndrome and Diffuse Metastatic Infection

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S129-S130
Author(s):  
Ali M Ayyash ◽  
Ly Tran ◽  
Charlie Ervin ◽  
Rahul Sampath ◽  
Teresa Campanile
Keyword(s):  
Septic Arthritis ◽  
Group B Streptococcus ◽  
Whole Body ◽  
Toxic Shock ◽  
The Past ◽  
Metastatic Infection ◽  
Wide Range ◽  
Severe Group ◽  
Group B ◽  
The Right

Abstract Background The incidence of invasive Group B streptococcal (GBS) infection has been increasing in the past decade and is currently at 10.9 cases per 100,000 population. GBS toxic shock-like syndrome is rare, with few cases reported over the past decade. The presumed etiology is the production of an uncharacterized pyrogenic toxin by certain strains. Methods We present a unique case of invasive GBS infection complicated by severe GBS-mediated toxic shock-like syndrome (TSLS) and diffuse metastatic infection. Results A 62-year-old obese male with diabetes mellitus presented with pain, swelling, and redness of the right shoulder and ankle for one week after a fall. Vitals were remarkable for tachycardia to 106 BPM and fever of 101°F with labs showing a leukocytosis to 23,500 u/L. The patient was started on ceftriaxone IV but continued to develop worsening fever, leukocytosis, encephalopathy, diffuse extremity pain, and whole-body macular erythema at 48 hours. Blood cultures grew GBS and TSLS was suspected. Adjunct clindamycin was started. MRI of the extremities demonstrated abscesses of the right levator scapulae, posterior scalene, brachioradialis, and right ankle. MRI of the spine showed epidural abscesses at L3-L5 and septic arthritis of the spinal facets at L4-L5. Operative abscess removal with joint washouts were performed by neurosurgery and orthopedics, and the patient symptomatically improved within 2 weeks on IV ceftriaxone. He was subsequently continued on cefazolin for 10 weeks and did well at follow-up. Right elbow showing a characteristic flat, macular erythema of toxic shock-like syndrome. Left arm with macular erythema. MRI showing spinal epidural abscesses at L3-L5 spinal levels (arrows). Conclusion Invasive metastatic Group B Streptococcus infection in non-pregnant adults presenting with TSLS is rare. To our knowledge, there has never been a case of GBS infection causing TSLS with rapidly developing florid metastatic infection including epidural abscess development, septic arthritis, and musculoskeletal abscesses. This case highlights the wide range of infectious possibilities associated with severe GBS infection. Disclosures All Authors: No reported disclosures

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