alexa Bilateral Simultaneous Streptococcus pneumoniae Knee Septic Arthritis in a Patient with Previous Splenectomy
ISSN: 2165-8048

Internal Medicine: Open Access
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Case Report

Bilateral Simultaneous Streptococcus pneumoniae Knee Septic Arthritis in a Patient with Previous Splenectomy

Mohamad El Zein*, Yousef Abdel-Aziz and Anand Mutgi

Department of Internal Medicine, University of Toledo, Toledo, Ohio, USA

Corresponding Author:
Mohamad El Zein
Department of Internal Medicine
The University of Toledo, Toledo, Ohio, USA
Tel: 4102922906
E-mail: [email protected]

Received Date: June 13, 2017; Accepted Date: July 03, 2017; Published Date: July 05, 2017

Citation: Zein MEI, Abdel-Aziz Y, Mutgi A (2017) Bilateral Simultaneous Streptococcus pneumoniae Knee Septic Arthritis in a Patient with Previous Splenectomy. Intern Med 7:247. doi:10.4172/2165-8048.1000247

Copyright: © 2017 Zein MEI et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



A 60-year-old male, with past medical history significant for traumatic total splenectomy in 1970, osteoarthritis, presented with symptoms of fever, chills, fatigue, and bilateral knee pain and swelling of several days duration. Physical examination was significant for bilateral knee effusion, redness, warmth, and decreased range of motion of knees bilaterally.

Initial laboratory results showed leukocytosis with neutrophilia. Bilateral joint aspiration of the knees yielded a positive joint fluid for Streptococcus pneumoniae. He was placed on IV vancomycin and immunoglobulins. The patient underwent arthroscopic and mini-open arthrotomy along with irrigation and debridement.


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