Pyogenic Knee Arthritis Caused by Group A β-Hemolytic Streptococcus: A Toxic Shock-Prevented Case

MASAFUMI GOTO; MASAFUMI GOTOH; YASUHIRO MITSUI; HIDEAKI SHIBATA; TAKAHIRO OKAWA; FUJIO HIGUCHI; NAOTO SHIBA

doi:10.2739/kurumemedj.MS63002

Case Report

Pyogenic Knee Arthritis Caused by Group A β-Hemolytic Streptococcus: A Toxic Shock-Prevented Case

MASAFUMI GOTO, MASAFUMI GOTOH, YASUHIRO MITSUI, HIDEAKI SHIBATA, TAKAHIRO OKAWA, FUJIO HIGUCHI, NAOTO SHIBA

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Keywords: pyogenic knee arthritis, group A β-hemolytic Streptococcus, streptococcal toxic shock syndrome

JOURNAL FREE ACCESS

2014 Volume 61 Issue 1.2 Pages 31-34

DOI https://doi.org/10.2739/kurumemedj.MS63002

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Abstract

Pyogenic knee arthritis caused by group A β-hemolytic Streptococcus (GAS) is rare. GAS sometimes causes group A β-hemolytic streptococcal toxic shock syndrome. We encountered a case of pyogenic knee arthritis caused by GAS that resolved after appropriate treatment (emergency arthroscopic synovectomy and medication) administered within 48 h of onset. In cases of a history of another infection with acute knee joint pain, the possibility of GAS-induced pyogenic knee arthritis should be considered, and proper treatment should be administered immediately.

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