Case Report
Volume 12 Issue 1 - 2021
Pediatric Pyogenic Knee Arthritis Difficult to Treat Due to Drug Allergy
Yukifumi Sakamoto, Takatomo Mine*, Koichiro Ihara, Hiroyuki Kawamura, Michio Shinohara, Ryutaro Kuriyama and Yasuhiro Tominaga
From the Department of Orthopaedic Surgery, National Hospital Organization Kanmon Medical Center, Shimonoseki, Japan
*Corresponding Author: Takatomo Mine, From the Department of Orthopaedic Surgery, National Hospital Organization Kanmon Medical Center, Shimonoseki, Japan.
Received: November 23, 2020; Published: December 29, 2020




Abstract

Background: In pediatric pyogenic knee arthritis, surgical drainage and antibiotic therapy are required early after diagnosis. The antibiotic is initially selected on an empirical basis to cover the most common pathogens responsible for pediatric pyogenic knee arthritis. However, pyogenic knee arthritis is difficult to treat if the patient has drug allergy to antibiotics. In addition, it is necessary to consider whether acute pyogenic arthritis and osteomyelitis in the knee are combined.

Case presentation: A 9-year-old boy was injured by contaminated tweezers stabbed in his left knee. He was referred to our hospital for treatment of pyogenic knee arthritis. Bacterial culture of the aspirated synovial fluid was negative. He was allergic to cefazolin and meropenem. Also, he had acute pyogenic knee arthritis and osteomyelitis in the femoral condyle. Clindamycin and hyperbaric oxygen therapy were used in consideration of the possibility of anaerobic bacteria and therapeutic efficacy was confirmed.

Conclusion: Knowledge of the epidemiology reported for different age groups is important to help select an appropriate empirical treatment. The duration of antibiotic treatment should be based on clinical judgment, objective diagnostic data, and MRI findings.

Keywords: Pediatric Pyogenic Arthritis; Knee; Antibiotic Therapy; Magnetic Resonance Imaging

References

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Citation: Takatomo Mine., et al. “Pediatric Pyogenic Knee Arthritis Difficult to Treat Due to Drug Allergy”.EC Orthopaedics 12.1 (2021): 35-38.

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