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Logo of archdischArchives of Disease in ChildhoodVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
Arch Dis Child. Jun 2003; 88(6): 542–544.
PMCID: PMC1763127

Pantoea agglomerans as a cause of septic arthritis after palm tree thorn injury; case report and literature review


A review of the literature between 1953 and 2002 revealed that bacterial growth after plant thorn injuries is reported infrequently. Yet when reported, Pantoea agglomearns is the most common organism found. Therefore, it must be considered and suspected in "aseptic" cases of arthritis, when there is a history of a plant thorn injury. We also emphasise the efficacy of ultrasound examination in these cases to identify the presence and location of a plant thorn.

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Figures and Tables

Figure 1
A foreign body with approximate length of 8 mm (the date palm thorn) is seen in the posterior lateral aspect of the knee (between the black arrows).
Figure 2
The date palm (Phoenix dactylifera).
Figure 3
The thorn tip of the date palm (0.5–1.5 cm) (black arrows).

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