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Vol. 14. Num. 5.September - October 2018
Pages 251-316
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Vol. 14. Num. 5.September - October 2018
Pages 251-316
Case Report
DOI: 10.1016/j.reumae.2017.01.014
Septic Arthritis in a Native Knee Due to Corynebacterium striatum
Artritis séptica de rodilla nativa por Corynebacterium striatum
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Juan Molina Colladaa,
Corresponding author
molinacolladajuan@gmail.com

Corresponding author.
, Alicia Rico Nietob, Macarena Díaz de Bustamante Ussiac, Alejandro Balsa Criadoa
a Servicio de Reumatología, Hospital Universitario La Paz, Madrid, Spain
b Unidad de Enfermedades Infecciosas, Servicio de Medicina Interna, Hospital Universitario La Paz, Madrid, Spain
c Servicio de Geriatría, Hospital Universitario La Paz, Madrid, Spain
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Abstract

We describe a case of septic arthritis in a native knee due to Corynebacterium striatum, gram-positive bacilli that are usually commensal organisms of skin and mucosal membranes, but are seldom implicated in native septic arthritis. An 84-year-old man with Corynebacterium striatum septic arthritis of his native left knee and no response to conventional antibiotic therapy. Thus, the patient was allowed to take dalbavancin for compassionate use, with an excellent clinical outcome. This case emphasizes de role of Corynebacterium striatum in native joint infections and highlights the importance of early detection and appropriate treatment in improving the clinical outcome.

Keywords:
Arthritis
Corynebacterium striatum
Dalbavancin
Resumen

Describimos un caso de artritis séptica de rodilla por Corynebacterium striatum, bacilo Gram positivo colonizador habitual de la flora de la piel y mucosas, que rara vez ha sido implicado en artritis sépticas de articulaciones nativas. Se trata de un varón de 84 años diagnosticado de artritis séptica de rodilla izquierda por Corynebacterium striatum que evoluciona de forma tórpida con antibioterapia convencional, por lo que se solicita tratamiento compasivo con dalbavancina, con excelente respuesta clínica. Este caso resalta el potencial papel patógeno que las especies del género Corynebacterium pueden tener en artritis sépticas de articulaciones nativas y subraya la importancia de su detección precoz y tratamiento dirigido para obtener resultados clínicos satisfactorios.

Palabras clave:
Artritis
Corynebacterium striatum
Dalbavancina

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