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Case Reports
. 2020 Dec 15;6(3):51-55.
doi: 10.5194/jbji-6-51-2020. eCollection 2020.

Septic arthritis of the knee due to Pantoea agglomerans: look for the thorn

Tobias Koester  1 , Taro Kusano  1 , Henk Eijer  1 , Robert Escher  2 , Gabriel Waldegg  2
Affiliations
Case Reports

Septic arthritis of the knee due to Pantoea agglomerans: look for the thorn

Tobias Koester et al. J Bone Jt Infect. .

Abstract

We report on a patient with septic arthritis of the knee with Pantoea agglomerans after a penetrating black locust thorn injury. Antibiotics alone or in combination with an arthroscopy may be insufficient for achieving source control. Accurate medical history and open debridement with a search for a thorn fragment are key to successful treatment.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Figure 1
Figure 1
Sagittal MRI slice (T1 fat suppression) of the left knee showed massive synovitis where the thorn fragment was located.
Figure 2
Figure 2
Thorn fragment (4.5 mm) removed during arthrotomy from the suprapatellar pouch.
Figure 3
Figure 3
Robinia pseudoacacia, commonly known as black locust, populated with Pantoea agglomerans. Picture from place of accident near Zurich, Switzerland.
See this image and copyright information in PMC

References

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