A child with Erysipelothrix arthritis–beware of the little known

Erysipelothrix rhusiopathiae is an established animal pathogen while the zoonotic infections in humans are rarely reported. Infections occur after exposure to animals or animal products that are mostly occupational in adults. Here we report in a child for the first time septic arthritis and osteomye...

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Bibliographic Details
Published in:Asian Pacific journal of tropical biomedicine 2012-06, Vol.2 (6), p.503-504
Main Authors: Mukhopadhyay, Chiranjay, Shah, Hitesh, Vandana, KE, Munim, Frenil, Vijayan, Sandeep
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - therapeutic use
Arthritis, Infectious - diagnosis
Arthritis, Infectious - microbiology
Arthritis, Infectious - pathology
Arthritis, Infectious - therapy
Case Report
Child, Preschool
Debridement
Erysipelothrix - isolation & purification
Erysipelothrix Infections - diagnosis
Erysipelothrix Infections - microbiology
Erysipelothrix Infections - pathology
Erysipelothrix Infections - therapy
Erysipelothrix rhusiopathiae
Hip Joint - diagnostic imaging
Hip Joint - pathology
Humans
Magnetic Resonance Imaging
Male
Osteomyelitis
Osteomyelitis - diagnosis
Osteomyelitis - microbiology
Osteomyelitis - pathology
Osteomyelitis - therapy
Radiography
Septic arthritis
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Summary:Erysipelothrix rhusiopathiae is an established animal pathogen while the zoonotic infections in humans are rarely reported. Infections occur after exposure to animals or animal products that are mostly occupational in adults. Here we report in a child for the first time septic arthritis and osteomyelitis without an identifiable risk factor. A 5-year-old male child was admitted with pain in the left hip joint and inability to bear weight on the limb. Clinical examination followed by radiological and magnetic resonance imaging was suggestive of septic arthritis.Erysipelothrix rhusiopathiae grew from peroperative joint specimen. The infection was resolved following arthrotomy, joint lavage and antibiotic therapy.
ISSN:2221-1691
2588-9222
DOI:10.1016/S2221-1691(12)60085-9