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Journal of Bone and Joint Infection An open-access journal of the European Bone and Joint Infection Society and the MusculoSkeletal Infection Society
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We report on a patient with septic arthritis of the knee with Pantoea agglomerans after a penetrating black locust thorn injury. Antibiotics alone or in combination with an arthroscopy may be insufficient for achieving source control. Accurate medical history and open debridement with a search for a thorn fragment are key to successful treatment. This publication includes a thorough literature review which analyses the outcome of all reported cases worldwide.
JBJI | Articles | Volume 6, issue 3
J. Bone Joint Infect., 6, 51–55, 2020
https://doi.org/10.5194/jbji-6-51-2020
J. Bone Joint Infect., 6, 51–55, 2020
https://doi.org/10.5194/jbji-6-51-2020

Case report 15 Dec 2020

Case report | 15 Dec 2020

Septic arthritis of the knee due to Pantoea agglomerans: look for the thorn

Tobias Koester et al.

Cited articles

Baskar, S., Mann, J. S., Thomas, A. P., and Newton, P.: Plant Thorn Tenosynovitis, JCR-J. Clin. Rheumatol., 12, 137–138, 2006. 
Blake, D. R., Bacon, P. A., Scott, C. A., and Potter, A. R.: Monoarthritis from blackthorn injury: a novel means of diagnosis, BMJ Brit. Med. J., 282, 361–362, 1981. 
Cruz, A. T., Cazacu, A. C., and Allen, C. H.: Pantoea agglomerans, a plant pathogen causing human disease, J. Clin. Microbiol., 45, 1989–1992, 2007. 
De Champs, C., Le Seaux, S., Dubost, J. J., Boisgard, S., Sauvezie, B., and Sirot, J.: Isolation of Pantoea agglomerans in Two Cases of Septic Monoarthritis after Plant Thorn and Wood Shiver Injuries, J. Clin. Microbiol., 38, 460–461, 2000. 
Demircan, E., Kasap-Demir, B., Şahin, H., Bayram, A., and Kanık, A.: Pantoea agglomerans as a Cause of Foreign Body Related Septic Arthritis in a Child: Case Report and Review of the Literature, Journal of Pediatric Infectious Diseases, 15, 265–268, 2020. 
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Short summary
We report on a patient with septic arthritis of the knee with Pantoea agglomerans after a penetrating black locust thorn injury. Antibiotics alone or in combination with an arthroscopy may be insufficient for achieving source control. Accurate medical history and open debridement with a search for a thorn fragment are key to successful treatment. This publication includes a thorough literature review which analyses the outcome of all reported cases worldwide.
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