سه شنبه 8 مهر 1404
[Archive]
دوره 33، شماره 158 - ( 3-1404 )
جلد 33 شماره 158 صفحات 240-237 |
برگشت به فهرست نسخه ها
Ethics code: IR.TBZMED.REC.1403.797
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Gholami N, Aghaei S, Ravaei G, Mahdipour S. Septic Arthritis Caused by Klebsiella pneumoniae in a Patient with B-cell Acute Lymphoblastic Leukemia: A Case Report. J Adv Med Biomed Res 2025; 33 (158) :237-240
URL: http://journal.zums.ac.ir/article-1-7687-fa.html
URL: http://journal.zums.ac.ir/article-1-7687-fa.html
Septic Arthritis Caused by Klebsiella pneumoniae in a Patient with B-cell Acute Lymphoblastic Leukemia: A Case Report. Journal of Advances in Medical and Biomedical Research. 1404; 33 (158) :237-240
چکیده: (415 مشاهده)
This case report describes a 53-year-old female with newly diagnosed B-cell acute lymphoblastic leukemia (ALL) who developed septic arthritis due to Klebsiella pneumoniae during induction chemotherapy with a modified CALGB protocol. The diagnosis was challenging, requiring multiple imaging modalities (ultrasound, MRI, and PET scan), and was ultimately confirmed via synovial fluid culture obtained through arthroscopy. Despite targeted antibiotic therapy and surgical intervention, the patient experienced persistent joint dysfunction, necessitating referral for total hip arthroplasty. This case highlights the importance of high clinical suspicion for septic arthritis in immunocompromised patients, the critical role of synovial fluid analysis in diagnosis, and the need for multidisciplinary management.
نوع مطالعه: گزارش موردی |
موضوع مقاله:
Clinical Medicine
دریافت: 1404/1/14 | پذیرش: 1404/5/4 | انتشار: 1404/5/17
دریافت: 1404/1/14 | پذیرش: 1404/5/4 | انتشار: 1404/5/17
فهرست منابع
1. Margaretten ME, Kohlwes J, Moore D, Bent S. Does this adult patient have septic arthritis?. JAMA. 2007;297(13):1478-88. [DOI:10.1001/jama.297.13.1478] [PMID]
2. Butler BA, Fitz DW, Lawton CD, Li DD, Balderama ES, Stover MD. Early diagnosis of septic arthritis in immunocompromised patients. J Orthop Sci. 2018;23(3):542-5. [DOI:10.1016/j.jos.2018.02.011] [PMID]
3. Coba GA, Velez AP, Joyce DM, Greene JN. Contrasting the clinical presentation and prevalence of septic, reactive, and crystal arthritis in patients with hematologic and solid malignancies. Infect Dis Clin Pract. 2019;27(2):96-101. [DOI:10.1097/IPC.0000000000000712]
4. Raymakers JW, Castelijn DAR, Rutten CE, Hodiamont CJ. Fusariosis in patients with hematological malignancies: Two case reports. Med Mycol Case Rep. 2023;42:100602. [DOI:10.1016/j.mmcr.2023.08.005] [PMID] [PMCID]
5. Salehi M, Nourbakhsh SMK, Ardakani MV, Abdollahi A, Khaki PA, Aliramezani A. Bilateral hip septic arthritis caused by nontyphoidal Salmonella group D in a 16-year-old girl with COVID-19: A case report. Int J Surg Case Rep. 2022;95:107202. [DOI:10.1016/j.ijscr.2022.107202] [PMID] [PMCID]
6. Pickles RW, Pacey DE, Muir DB, Merrell WH. Experience with infection by Scedosporium prolificans including apparent cure with fluconazole therapy. J Infect. 1996;33(3):193-7. [DOI:10.1016/S0163-4453(96)92249-5] [PMID]
7. Wang HP, Yen YF, Chen WS, Chou YL, Tsai CY, Chang HN, et al. An unusual case of Candida tropicalis and Candida krusei arthritis in a patient with acute myelogenous leukemia before chemotherapy. Clin Rheumatol. 2007;26(7):1195-7. [DOI:10.1007/s10067-006-0336-9] [PMID]
8. Tan TJ, Tan SC. Concomitant early avascular necrosis of the femoral head and acute bacterial arthritis by enteric Gram-negative bacilli in four oncologic patients. Singapore Med J. 2013;54(5):e108-12. [DOI:10.11622/smedj.2013065]
9. Nair SG, Gayatri G, Vishnu H, Bijulal S. Case report of Aspergillus septic arthritis in a patient with acute lymphocytic leukemia. Egypt J Haematol. 2022;47(3):224-6. [DOI:10.4103/ejh.ejh_16_21]
10. Weston VC, Jones AC, Bradbury N, Fawthrop F, Doherty M. Clinical features and outcome of septic arthritis in a single UK Health District 1982-1991. Ann Rheum Dis. 1999;58(4):214-9. [DOI:10.1136/ard.58.4.214] [PMID] [PMCID]
11. Brown CR, Samade R, Turnquist E, Mickley J, Lynch D, Larkin KTM, et al. Assessment for septic arthritis in immunocompetent and immunocompromised patients: a single-institution study. J Am Acad Orthop Surg. 2022;30(1):27-35. [DOI:10.5435/JAAOS-D-21-00053] [PMID]
12. Bell J, Rasmussen L, Kumar A, Heckman MG, Lesser ER, Whalen J, et al. Septic Arthritis in Immunosuppressed Patients: Do Laboratory Values Help?. J Am Acad Orthop Surg Glob Res Rev. 2020;4(3):e20.00007. [DOI:10.5435/JAAOSGlobal-D-20-00007] [PMID] [PMCID]
13. Gupta MN, Sturrock RD, Field M. Prospective comparative study of patients with culture proven and high suspicion of adult onset septic arthritis. Ann Rheum Dis. 2003;62(4):327-31. [DOI:10.1136/ard.62.4.327] [PMID] [PMCID]
14. Balsat M, Galicier L, Wargnier A, Pereyre S, Itzykson R, Zouakh M, et al. Diagnosis of ureaplasma urealyticum septic polyarthritis by PCR assay and electrospray ionization mass spectrometry in a patient with acute lymphoblastic leukemia. J Clin Microbiol. 2014;52(9):3456-8. [DOI:10.1128/JCM.00963-14] [PMID] [PMCID]
| بازنشر اطلاعات | |
 |
این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است. |
