Chronic Corynebacterium striatum Septic Arthritis in a Patient Referred for Total Knee Arthroplasty. (5th March 2020)

• Record Type: Journal Article
• Authors: Hollnagel, Katharine; Willen, Jacob; Ellis, Michael; Soleimanifard, Yalda; Booth, Robert; Nandi, Sumon
• Other Names: Lyons Mark K. Academic Editor.
• Is Part Of: Case reports in orthopedics. Volume 2020(2020)
• Publication Date: 2020-03-05
• Subjects: Orthopedics -- Periodicals; Orthopedics; Orthopedics; Periodicals; Electronic journals; Periodicals; 616.7
• DOI: 10.1155/2020/1392182
• Languages: English
• ISSNs: 2090-6749

Abstract

Abstract : Background . While Corynebacterium striatum and other Corynebacterium species were historically considered contaminants, they are recently being identified as pathogens with increasing frequency. Case Summary . We report the case of a 78-year-old gentleman with a three-year history of knee pain and established diagnosis of osteoarthritis referred for consideration for total knee arthroplasty. He had no knee pain with passive range-of-motion. Plain films demonstrated bony erosions atypical for osteoarthritis. Joint aspiration white blood cell count was 30, 548/mm 3, but multiple cultures were positive for C. striatum . The infection was successfully treated with open irrigation and debridement, complete synovectomy, and six weeks of intravenous daptomycin. Conclusion . To our knowledge, this is the first report of chronic C. striatum septic arthritis of a native joint and only the third case of C. striatum septic arthritis of the knee.