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Pan Afr Med J. 2017 Apr 4;26:197. doi: 10.11604/pamj.2017.26.197.12271. eCollection 2017.

[Proteus mirabilis septic arthritis].

[Article in French]

Author information

1
Service de Microbiologie, Hôpital Militaire Moulay Ismail Meknès, Maroc.
2
Faculté de Médecine et de Pharmacie, Université Mohammed Ben Abdellah, Fès, Maroc.
3
Service de Médecine, Hôpital Régional Mohamed VMeknès, Maroc.
4
Faculté de Médecine et de Pharmacie, Université Mohammed V, Souissi-Rabat, Maroc.

Abstract

Acute septic arthritis is rare. It is associated with poor prognosis in terms of mortality and morbidity. We report the case of a 61-year old patient with spontaneous Proteus mirabilis septic arthritis. He suffered from complicated diabetes associated with positive blood cultures and synovial fluid cultures. Patient's evolution was favorable thanks to early diagnosis and initiation of adequate antibiotic therapy. Proteus mirabilis septic arthritis is rare. On that basis we conducted a literature review of cases of Proteus mirabilis pyogenic arthritis to highlight the risk factors, pathogenesis, treatment and evolution of these diseases. Diagnosis is commonly based on microbiological analysis, early articular puncture biopsy is performed before the initiation of antibiotic treatment, direct examination, culture and antibiogram which are useful as guidance for antibiotic therapy. Septic arthritis is a diagnostic and therapeutic emergency; early management of this disease allows total healing without after-effects.

KEYWORDS:

Proteus mirabilis; Septic arthritis; risk factors

PMID:
28674590
PMCID:
PMC5483350
DOI:
10.11604/pamj.2017.26.197.12271
[Indexed for MEDLINE]
Free PMC Article

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