Pyogenic knee arthritis caused by group A β-hemolytic Streptococcus: a toxic shock-prevented case

Kurume Med J. 2014;61(1-2):31-4. doi: 10.2739/kurumemedj.MS63002. Epub 2014 Aug 25.

Abstract

Pyogenic knee arthritis caused by group A β-hemolytic Streptococcus (GAS) is rare. GAS sometimes causes group A β-hemolytic streptococcal toxic shock syndrome. We encountered a case of pyogenic knee arthritis caused by GAS that resolved after appropriate treatment (emergency arthroscopic synovectomy and medication) administered within 48 h of onset. In cases of a history of another infection with acute knee joint pain, the possibility of GAS-induced pyogenic knee arthritis should be considered, and proper treatment should be administered immediately.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use*
  • Arthritis, Infectious / diagnosis
  • Arthritis, Infectious / microbiology
  • Arthritis, Infectious / therapy*
  • Arthroscopy*
  • Combined Modality Therapy
  • Female
  • Fluid Therapy*
  • Humans
  • Knee Joint / microbiology
  • Knee Joint / surgery*
  • Shock, Septic / microbiology
  • Shock, Septic / prevention & control*
  • Streptococcal Infections / diagnosis
  • Streptococcal Infections / microbiology
  • Streptococcal Infections / therapy*
  • Streptococcus pyogenes / drug effects*
  • Streptococcus pyogenes / isolation & purification
  • Streptococcus pyogenes / pathogenicity
  • Time Factors
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents