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Knee Septic Arthritis after Palm Tree Thorn Injury: A Case Report

dc.contributor.authorRamos, Jorge Teixeira
dc.contributor.authorBarbosa, Nuno
dc.contributor.authorAlmeida, João
dc.contributor.authorKarmali, Samir
dc.contributor.authorGuerreiro, Rui
dc.contributor.authorMagalhães, Glória
dc.date.accessioned2023-12-14T22:40:54Z
dc.date.available2023-12-14T22:40:54Z
dc.date.issued2021-03
dc.description.abstractIntroduction:A monoarthritic painful knee may have multiple etiologies, of which septic arthritis is commonly considered to be one of the most deleterious pathologies. This type of acute symptom is, in the literature, for some rare cases, related to an inflammatory process secondary to a penetrating plant thorn, which was considered an aseptic process and therefore treated by removing the foreign body. This work reports a recent case falling into that diagnosis, which due to its infrequent nature, could have been misevaluated and consequently mistreated. Case Report: Our goal is to bring to the attention of the orthopedic community that this type of deleterious pathology, which is today uncommon, must never be fully disregarded. We share a case of a 68-year-old male who was admitted 2 days after being injured by a palm tree (Arecaceae) thorn with acute inflammatory signs and effusion in the left knee. Although, ultrasound excluded pathway or intra-articular foreign bodies, in the arthroscopic procedure, a thorn was found and removed. Pantoea agglomerans was identified in the synovial fluid. Conclusion: Following the removal of the foreign body, empirical antibiotic treatment with coverage against Gram-negative pathogens was initiated and later on replaced by appropriate antibiotics, after susceptibility testing is obtained.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.13107/jocr.2021.v11.i03.2066pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/48501
dc.language.isoengpt_PT
dc.subjectKneept_PT
dc.subjectpalm treept_PT
dc.subjectpantoea agglomeranspt_PT
dc.subjectseptic arthritispt_PT
dc.subjectthornpt_PT
dc.titleKnee Septic Arthritis after Palm Tree Thorn Injury: A Case Reportpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage15pt_PT
oaire.citation.startPage13pt_PT
oaire.citation.titleJournal of Orthopaedic Case Reportspt_PT
oaire.citation.volume11pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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