Disseminated septic arthritis caused by Streptococcus equi infection.

BMJ Case Reports
Khudaim Mohammed MobeenJane Minton

Abstract

We describe a rare case of bloodstream infection and disseminated septic arthritis in a relatively fit and well 73-year-old retired farmer and gamekeeper, due to the zoonotic organism Streptococcus equi The presence of the organism in multiple joints led to slow clinical response to treatment and was complicated by relapse of infection and lengthy disability. Source control was achieved with multiple joint washouts and spinal cord decompression. Following this, a 6-week course of intravenous antibiotics was required for complete clearance of infection. After a long period of rehabilitation, the patient made a good recovery. This case demonstrates that S. equi can cause life threatening and difficult to treat sepsis in humans and requires a high index of suspicion in people who have regular contact with equine species, cattle and unpasteurised milk.

References

Mar 22, 2006·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·A Bordes-BenítezM Bolaños-Rivero
Sep 8, 2010·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·D W EyreS J McBride
Dec 12, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Douglas R OsmonUNKNOWN Infectious Diseases Society of America
Feb 14, 2013·Antimicrobial Agents and Chemotherapy·Laura MorataAlex Soriano
Jun 20, 2013·Emerging Infectious Diseases·Sinikka PelkonenTamara Tuuminen
Oct 16, 2016·BMC Infectious Diseases·E FiauxUNKNOWN G4 bone and joint infection study group (G4BJIS)

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Citations

Sep 30, 2021·Zoonoses and Public Health·Misun KimJeong Rae Yoo

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