First case report of <i>Corynebacterium minutissimum</i> septic arthritis associated with an indwelling device

<i>Corynebacterium minutissimum</i> usually presents with erythrasma, a macular rash, but rarely it can cause extracutaneous infections such as endocarditis, peritonitis, pyelonephritis, and catheter-related bloodstream infections. Here, we present the first case of septic arthritis caused by <i>C. minutissimum</i> and a literature review of invasive <i>C. minutissimum</i> infections. The diagnosis was confirmed by the patient's clinical findings and microbiological examination of the joint fluid. Considering the patients hemodialysis catheter and the pathogenic nature of the <i>C. minutissimum</i>, we strongly suspected a catheter-related infection. Clinical and laboratory follow-ups showed consistent improvement with treatment, characterized by reduced pain, swelling, and localized warmth in the left knee, along with a significant decline in acute-phase reactants. The patient achieved full recovery following a four-week course of antibiotics and catheter removal. Our report emphasizes the importance of not disregarding the isolation of non-diphtheria <i>Corynebacterium</i> from appropriately collected sterile samples in symptomatic patients, particularly those with indwelling devices. Based on this case report, clinicians should consider the rare possibility of this microorganism being the cause of septic arthritis.

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Publication Details

Journal
Future Microbiology
Published
2024-12-20
DOI
https://doi.org/10.1080/17460913.2024.2444160
Primary Topic
Diphtheria, Corynebacterium, and Tetanus
Type
article
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article

First case report of Corynebacterium minutissimum septic arthritis associated with an indwelling device

Samiha Akkaya, Yusuf Emre Özdemir, E. T. Çetin, Hayat Kumbasar Karaosmanoğlu et al.
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Future Microbiology
Diphtheria, Corynebacterium, and Tetanus
article

First case report of Corynebacterium minutissimum septic arthritis associated with an indwelling device

Samiha Akkaya, Yusuf Emre Özdemir, E. T. Çetin, Hayat Kumbasar Karaosmanoğlu, Esra Ensaroğlu
article en

Abstract

<i>Corynebacterium minutissimum</i> usually presents with erythrasma, a macular rash, but rarely it can cause extracutaneous infections such as endocarditis, peritonitis, pyelonephritis, and catheter-related bloodstream infections. Here, we present the first case of septic arthritis caused by <i>C. minutissimum</i> and a literature review of invasive <i>C. minutissimum</i> infections. The diagnosis was confirmed by the patient's clinical findings and microbiological examination of the joint fluid. Considering the patients hemodialysis catheter and the pathogenic nature of the <i>C. minutissimum</i>, we strongly suspected a catheter-related infection. Clinical and laboratory follow-ups showed consistent improvement with treatment, characterized by reduced pain, swelling, and localized warmth in the left knee, along with a significant decline in acute-phase reactants. The patient achieved full recovery following a four-week course of antibiotics and catheter removal. Our report emphasizes the importance of not disregarding the isolation of non-diphtheria <i>Corynebacterium</i> from appropriately collected sterile samples in symptomatic patients, particularly those with indwelling devices. Based on this case report, clinicians should consider the rare possibility of this microorganism being the cause of septic arthritis.

Future MicrobiologyVol. 20(3)
Bakırköy Dr.Sadi Konuk Eğitim ve Araştırma Hastanesi (TR)
Zero hunger
Openalex Percentile: Top 82%
Diphtheria, Corynebacterium, and Tetanus
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