Bilateral knee septic arthritis in a middle-aged woman: A case report.

Kolade OA1*, Omoseebi AA1
1Department of Orthopaedics, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria.
*Correspondence: Dr. Kolade Oluwasegun Adeola; +234803 926 5707; koladeoa@gmail.com

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Abstract

Background: Septic arthritis is an inflammatory condition involving the joint, diagnosed by isolation of pathogens from synovial fluid and usually associated with subsequent complication. Acute septic arthritis is an orthopaedic emergency and bilateral involvement is rare in immunocompetent individuals.
Case presentation: A 55-year-old female presented with history of pain and swelling of both knees and fever of 3 weeks’ duration. There were scarification marks on the swollen and tender knees as she had sought traditional care before presentation to us. Osteoarthritis of the knee was identified as a risk factor for septic arthritis in the patient. She had bilateral open knee arthrotomy, antibiotics and physiotherapy.
Conclusion: Bilateral knee septic arthritis is a rare condition in immunocompetent patient. Osteoarthritis is a risk factor. Prompt diagnosis, surgical intervention and medical treatment with suitable antibiotics are important in reducing morbidity and high rate of mortality that can result from the condition.

Keywords: Septic arthritis, Inflammatory, Bilateral.

Cite this article: Kolade OA, Omoseebi AA. Bilateral knee septic arthritis in a middle-aged woman: A case report. Yen Med J. 2020;2(2):84–8.

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