Forschungsdatenbank PMU-SQQUID

PMU-Autor/inn/en

Abstract

Septic arthritis caused by Streptococcus zooepidemicus is a rare event in humans. Of the four cases reported in the literature, only two patients had direct animal contact, and the portal of entry remained unclear in all cases. We report herein the case of a patient who suffered a purulent arthritis of the left shoulder caused by S. zooepidemicus, successfully treated in our department. A diagnostic FDG-PET-CT scan ruled out other foci of infection, but detected a hyperkeratotic plantar chronic soft tissue lesion of the left foot, acquired in a paragliding accident 10 years earlier. The fact that the patient habitually took care of his horses barefoot in boots, identifies the cutaneous portal of entry as most likely. To our knowledge this is the first report of a septic arthritis caused by S. zooepidemicus where a cutaneous entry route is described.

Useful keywords (using NLM MeSH Indexing)

Animals

Arthritis, Infectious/diagnosis*

Arthritis, Infectious/microbiology

Arthritis, Infectious/therapy

C-Reactive Protein/metabolism

Disease Reservoirs/microbiology

Fluorodeoxyglucose F18/diagnostic use

Foot

Horses/microbiology

Humans

Male

Middle Aged

Positron-Emission Tomography

Radiopharmaceuticals/diagnostic use

Shoulder

Streptococcal Infections/diagnosis*

Streptococcal Infections/microbiology

Streptococcal Infections/therapy

Streptococcus equi*/isolation*

purification

Streptococcus equi*/pathogenicity

Tomography, X-Ray Computed

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