Impact of trauma on the development of septic arthritis: a case report

Authors

DOI:

https://doi.org/10.24054/cbs.v3i2.3764

Keywords:

Septic arthritis, Hematogenous dissemination, Acute kidney injury, Spondylodiscitis, Arthrotomy

Abstract

Post-traumatic septic arthritis, a rare but serious complication of joint injuries, is characterized by the invasion of microorganisms, frequently methicillin-sensitive Staphylococcus aureus, through disruption of the skin and joint capsular barrier, triggering a severe inflammatory response that can progress to systemic complications such as acute kidney injury, septic shock, hematogenous dissemination bacteremia, and encephalopathies, among others. This case study describes a patient who, after suffering joint trauma, developed severe septic arthritis of the left knee, requiring multiple surgical interventions, long-term antibiotic therapy, and presenting with complications such as acute kidney failure and spondylodiscitis secondary to hematogenous seeding. This highlights the importance of early recognition and multidisciplinary management of this condition to minimize associated morbidity and mortality.

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References

Zhang Y, Wang Z, Liu X. Septic arthritis of the knee: diagnosis and treatment strategies. Int J Orthop Surg. 2020;23(2):85-92.Disponible en:https://www.ijorthosurg.org/articles/2020/septic-arthritis-knee-diagnosis-treatment

Rennie W, Waddell JP, Moretti VM. Septic arthritis: pathophysiology, diagnosis, and management. J Bone Joint Surg. 2019;101(4):291-301.Disponible en:https://journals.lww.com/jbjsjournal/Fulltext/2019/02000/Septic_Arthritis__Pathophysiology,_Diagnosis,_and.11.aspx

Harris RR, Hays RD, Larkin J. Diagnostic approaches to septic arthritis. J Clin Microbiol. 2018;56(6):e00235-18.Disponible en:https://doi.org/10.1128/JCM.00235-18

Earwood JS, Walker TR, Sue GJC. Septic arthritis: diagnosis and treatment. Am Fam Physician. 2021;104(6):589–597.Disponible en:https://www.aafp.org/pubs/afp/issues/2021/0915/p589.html

Guía PRIOAM. Artritis séptica [Internet]. 2025 [citado 2025 May 12].Disponible en:https://www.guiaprioam.com/indice/artritis-septica/

Momodu II, Savaliya V. Septic Arthritis. En: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 [citado 2025 May 12].Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK538176/

Soor P, Sharma N, Rao C. Multifocal septic arthritis secondary to infective endocarditis: a rare case report. J Orthop Case Rep. 2017;7(1):65–68.Disponible en: https://doi.org/10.13107/jocr.2250-0685.692

García Sánchez M, Barbero Allende JM, Arranz Caso A. Protocolo terapéutico de la artritis séptica. Medicine (Barc). 2022;13(52):3064-3067.Disponible en:https://www.sciencedirect.com/science/article/abs/pii/S0304541222000762

Böhler C, Dragana M, Puchner S, Windhager R, Holinka J. Treatment of septic arthritis of the knee: a comparison between arthroscopy and arthrotomy. Knee Surg Sports Traumatol Arthrosc.2016;24(10):3147–3154.Disponible en:https://doi.org/10.1007/s00167-015-3659-8

Navarro Espinel JC, Díaz Medina JA. Reemplazo articular de rodilla en pacientes con historia de artritis séptica: revisión sistemática de alcance 2019 [tesis]. Bogotá: Universidad del Rosario; 2020. Disponible en: https://repository.urosario.edu.co/handle/10336/20894

Aitkens L, Winn M, Waller JL, Huber L, Baer SL, Mohammed A, et al. Septic arthritis in the end-stage renal disease population. J Investig Med. 2022;70(2):383-390. Disponible en:https://doi.org/10.1136/jim-2021-001869

Elsissy JG, Liu JN, Wilton PJ, Nwachuku I, Gowd AK, Amin NH. Bacterial Septic Arthritis of the Adult Native Knee Joint: A Review. JBJS Rev. 2020;8(1):e0059. Disponible en: https://doi.org/10.2106/JBJS.RVW.19.00059

Khoo CY, Chia CML. A challenging case of severe bilateral septic arthritis with osteomyelitis of the sternoclavicular joint in a patient with end-stage renal disease. Interdiscip Cardiovasc Thorac Surg. 2024;38(5):ivae080.Disponible en:https://doi.org/10.1093/icvts/ivae080

Lasierra Lavilla I, Rubio Castro D, Vallés Tormo I, Morte Romea E. Espondilodiscitis por Staphylococcus aureus: A propósito de un caso. Atalaya Méd Turol. 2023;(27):51-55. Disponible en:https://dialnet.unirioja.es/servlet/articulo?codigo=9899517

Valencia-Palacio E, Uribe-Castrillón LM, Gallo-Sáenz CM, Zapata-Catellanos AL, Gallego-González D. Artritis idiopática juvenil de inicio sistémico, un reto diagnóstico: reporte de caso. Rev Mex Pediatr. 2019;86(2):65-70.Disponible en: https://www.scielo.org.mx/scielo.php?pid=S0035-00522019000200065&script=sci_arttext

Omar O, Kraus-Schmitz J, Barenius B, Eriksson K, Stålman A. The course of septic arthritis following anterior cruciate ligament reconstruction: infectious agents, clinical presentation, and treatment: a case series of 158 patients. Orthop Procs.2024;106-B(SUPP_1):20. Disponible en: https://doi.org/10.1302/1358-992X.2024.1.020

Clement RGE, Wong SJ, Hall A, Howie SEM, Simpson AHRW. The long-term time course of septic arthritis. Bone Jt Open. 2024;5(9):785–792. Disponible en: https://doi.org/10.1302/2633-1462.59.BJO-2024-0048

Schindler M, Walter N, Reinhard J, et al. Survival and risk factor analysis in patients with septic arthritis: a retrospective study of 192 cases. BMC Infect Dis. 2024;24:10316. Disponible en: https://doi.org/10.1186/s12879-024-10316-0

Ravn C, Neyt J, Benito N, Abreu MA, Achermann Y, Bozhkova S, et al. Guideline for management of septic arthritis in native joints (SANJO). J Bone Joint Infect. 2023;8:29–37. Disponible en: https://doi.org/10.5194/jbji-8-29-2023

Burdick GB, Maier LM, Kuhlmann NA, Ayoola AS, Fathima B, Muh SJ. Clinical characteristics and long-term outcomes of septic arthritis of the native hip joint: a 20-year retrospective review. Hip Int. 2024;34(2). Disponible en: https://doi.org/10.1177/11207000231200175

Published

2025-06-21

How to Cite

Zuluaga Gómez , P. A., Aroca Granados, A. A., Julio Blanco, C. D., & Blanco Ortiz , G. S. (2025). Impact of trauma on the development of septic arthritis: a case report. Basic Health Sciencies Journal, 3(2), 104–114. https://doi.org/10.24054/cbs.v3i2.3764

Issue

Section

Case Reports

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