Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 25, Number 10—October 2019
CME ACTIVITY - Synopsis

Case Studies and Literature Review of Pneumococcal Septic Arthritis in Adults

Amandine Dernoncourt1Comments to Author , Youssef El Samad, Jean Schmidt, Jean Philippe Emond, Charlotte Gouraud, Anne Brocard, Mohamed El Hamri, Claire Plassart, Florence Rousseau, Valéry Salle, Momar Diouf, Emmanuelle Varon, and Farida Hamdad1
Author affiliations: Amiens-Picardie University Medical Center, Amiens, France (A. Dernoncourt, Y. El Samad, J. Schmidt, J.P. Emond, A. Brocard, M. El Hamri, C. Plassart, F. Rousseau, V. Salle, M. Diouf, F. Hamdad); Compiègne Hospital, Compiègne, France (J.P. Emond, C. Gouraud); Senlis Hospital, Senlis, France (A. Brocard); Laon Hospital, Laon, France (M. El Hamri); Beauvais Hospital, Beauvais, France (C. Plassart); Intercommunal Hospital of Creteil, Paris, France (E. Varon)

Main Article

Table 4

Clinical data on 16 patients with pneumococcal septic arthritis, Picardie region, France, 2005–2016*

Patient age, y/sex Antimicrobial drugs, initial intravenous therapy; duration, d Antimicrobial drugs, change to oral therapy Surgical intervention Duration of antimicrobial therapy, d Clinical outcome
90/M Ceftriaxone and rifampin; 4 Levofloxacin and rifampin Arthrotomy and replacement of prosthetic joint 42 Recovered, regained baseline joint function
93/F Ceftriaxone and gentamicin; 5 Levofloxacin and clindamycin Arthrotomy and synovectomy 120 Recovered, regained baseline joint function
34/M Amoxicillin and gentamicin; 4 Levofloxacin and amoxicillin None 42 Recovered, moderately reduced range of motion
68/M Amoxicillin and gentamicin; 2 NA None 2 Died 2 d after admission from multiorgan failure related to colchicine overdose
75/M Amoxicillin and gentamicin, then amoxicillin and levofloxacin; 11 Levofloxacin None 42 Recovered, regained baseline joint function
42/F Vancomycin and gentamicin; 6 Levofloxacin and rifampin Arthrotomy 42 Recovered, moderately reduced range of motion
80/F Ofloxacin and cloxacillin; 1 Amoxicillin None 42 Recovered, regained baseline joint function
61/F Amoxicillin and levofloxacin and rifampin; 7 Amoxicillin and rifampin Arthrotomy 42 Recovered, regained baseline joint function
57/F Amoxicillin and gentamicin; 5 Amoxicillin None 42 Recovered, moderately reduced range of motion
82/F ND ND ND ND ND
92/F ND ND ND ND ND
53/F Ceftriaxone and gentamicin; 15 Levofloxacin None 84 Recovered, regained baseline joint function
69/M Amoxicillin and gentamicin; ND ND ND ND Recovered, regained baseline joint function
82/F Cefotaxime and gentamicin; 7 Levofloxacin and rifampin Arthrotomy 47 Recovered, moderately reduced range of motion
57/M Amoxicillin and gentamicin; 27 Amoxicillin Arthrotomy and synovectomy 42 Recovered, moderately reduced range of motion
82/M Amoxicillin and gentamicin; 10 Amoxicillin None 42 Recovered, regained baseline joint function

*NA, not applicable; ND, no data.

Main Article

1These authors contributed equally to this article.

Page created: September 12, 2019
Page updated: September 12, 2019
Page reviewed: September 12, 2019
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
file_external