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May 1978

Septic Arthritis Caused by Enterobacter agglomerans

Author Affiliations

From the Department of Medicine, Case Western Reserve University School of Medicine at Cleveland Metropolitan General Hospital, Cleveland.

Arch Intern Med. 1978;138(5):788. doi:10.1001/archinte.1978.03630290076024

A case of septic arthritis was caused by Enterobacter agglomerans, an association that to our knowledge has not been described previously. The right knee joint of a previously healthy 11-year-old boy became infected when the organism was introduced through the overlying skin by a contaminated wooden splinter. Conservative management with antibiotic therapy and repeated arthrocenteses was successful. Enterobacter agglomerans is a known plant pathogen, and a relationship between human infections caused by this organism and contact with plants is well recognized. The patient described here demonstrates that, when given a suitable set of environmental circumstances, E agglomerans can cause infection in man, including septic arthritis.

(Arch Intern Med 138:788, 1978)