Arthroscopic Management of a Rare Case of Melioidotic Septic Arthritis of the Ankle in a New Endemic Area on the Southwest Coast of India: A Case Report

JBJS Case Connect. 2017 Jul-Sep;7(3):e45. doi: 10.2106/JBJS.CC.16.00183.

Abstract

Case: We report a case of melioidotic septic arthritis of the ankle and secondary osteomyelitis of the talus in a 64-year-old farmer with diabetes mellitus. Arthroscopic drainage and debridement, followed by 6 months of appropriate antibiotic therapy, resulted in a good short-term outcome.

Conclusion: Melioidotic septic arthritis of the ankle is extremely rare. This case report highlights the possibility of this disease occurring on the Indian subcontinent.

Publication types

  • Case Reports

MeSH terms

  • Administration, Intravenous
  • Ankle
  • Ankle Joint / diagnostic imaging*
  • Ankle Joint / microbiology
  • Ankle Joint / surgery
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use
  • Arthritis, Infectious / complications
  • Arthritis, Infectious / drug therapy*
  • Arthritis, Infectious / microbiology
  • Arthritis, Infectious / surgery
  • Arthroscopy / methods*
  • Burkholderia Infections / diagnosis
  • Burkholderia Infections / drug therapy
  • Burkholderia Infections / microbiology
  • Burkholderia Infections / surgery
  • Burkholderia pseudomallei / drug effects
  • Burkholderia pseudomallei / isolation & purification
  • Debridement / methods
  • Drainage / methods
  • Humans
  • India / epidemiology
  • Magnetic Resonance Imaging
  • Male
  • Melioidosis / diagnosis
  • Melioidosis / drug therapy*
  • Melioidosis / microbiology
  • Melioidosis / surgery
  • Middle Aged
  • Osteomyelitis / complications
  • Synovial Fluid / microbiology
  • Talus / diagnostic imaging*
  • Talus / pathology
  • Talus / surgery
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents