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Septic Arthritis Involving Kluyvera Species After Anterior Cruciate Ligament Reconstruction: A Case Report

Roukema, Erica M. MD*; Okulicz, Jason F. MD; Marconi, Vincent C. MD; Wheeler, John C. MD§; Prakash, Vidhya MD

Infectious Diseases in Clinical Practice: May 2011 - Volume 19 - Issue 3 - p 229-231
doi: 10.1097/IPC.0b013e3181fc6e68
Case Reports

Kluyvera, an organism in the family Enterobacteriaceae, is considered an infrequent opportunistic pathogen. Although most infections involve the genitourinary and gastrointestinal tracts, orthopedic infections requiring extensive surgical debridement have been reported. Optimal management includes appropriate surgical care coupled with antibiotic therapy, namely, third-generation cephalosporins, fluoroquinolones, and aminoglycosides based on reported susceptibility patterns. Clinicians must be aware of the potential severity of orthopedic infections due to Kluyvera species and, in turn, be vigilant in immediately initiating appropriate surgical and antibiotic therapy. We present the first reported case of Kluyvera septic arthritis after anterior cruciate ligament reconstruction.

From the *Department of Internal Medicine, San Antonio Military Medical Center, Lackland Air Force Base, †Infectious Disease Service, San Antonio Military Medical Center, Fort Sam Houston, San Antonio, TX; ‡Department of Infectious Disease, Emory University School of Medicine, Atlanta, GA; §Orthopedic Surgery Service, Misawa Air Base, Misawa, Japan and ∥Infectious Disease Department, Wright-Patterson Medical Center, Wright-Patterson Air Force Base, Dayton, OH.

Correspondence to: Vidhya Prakash, MD, Infectious Disease Department, Wright-Patterson Medical Center, 4881 Sugar Maple Dr, Wright-Patterson Air Force Base, Dayton, OH 45433. E-mail:

The authors have no funding or conflicts of interest to disclose.

Disclaimer: The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or reflecting the views of the Department of the Army, Department of the Air Force, Department of Defense, or the US Government. This work was prepared as part of their official duties and, as such, there is no copyright to be transferred.

© 2011 Lippincott Williams & Wilkins, Inc.