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Case report
A Case Report: Pseudomonas Stutzeri, An Unusual Cause of Septic Arthritis
A propósito de un caso: pseudomonas stutzeri, una causa inusual de artritis séptica
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L. Ranieria,
Corresponding author
Laura.ranieri.c@gmail.com

Corresponding author.
, S. López-Salguerob, Y. González Galvánc, M. Andrésa,d
a Sección Reumatología, Hospital General Universitario de Alicante-ISABIAL, Alicante, Spain
b Servicio Reumatología, Hospital Universitario Torrevieja, Spain
c Servicio Nefrología, Hospital General Universitario de Alicante, Spain
d Departamento de Medicina Clínica, Universidad Miguel Hernández, Elche, Spain
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Received 20 March 2019. Accepted 18 September 2019
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Table 1. Reported cases of septic arthritis from Pseudomonas stutzeri.
Abstract

A case is presented of septic knee arthritis caused by Pseudomonas stutzeri, which is an aerobic gram-negative bacillus widely distributed in nature and rarely causes serious infections in humans. The patient is an 84-year-old woman on haemodialysis, who developed a septic arthritis of the right knee after a hyaluronic acid injection. There was a favourable outcome after antibiotic therapy. This aetiology should be taken into account when there is a history of local invasion of the joint and in states of immunosuppression, as occurred in this patient.

Keywords:
Arthritis
Pseudomonas stutzeri
Haemodialysis
Immunosuppression
Resumen

Se presenta un caso de artritis séptica de rodilla por Pseudomonas stutzeri, bacilo gramnegativo aerobio ampliamente distribuido en la naturaleza y que rara vez ocasiona infecciones graves en el ser humano. Se trata de una mujer de 84 años, hemodializada, que desarrolla una artritis séptica de rodilla derecha tras una inflitración con ácido hialurónico y que evoluciona favorablemente tras terapia antibiótica. Se debe tener en cuenta esta etiología cuando hay antecedentes de invasión local de la articulación y en estados de inmunosupresión tal y como sucede en nuestra paciente.

Palabras clave:
Artritis
Pseudomonas stutzeri
Hemodialísis
Inmunosupresión

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