PubMed · 1997 · 22 citations · 0 references
MedicineImmunologyInfectious DiseasesAnkle PathologyMedical MicrobiologyMusculoskeletal InfectionAnkle InfectionsAntimicrobial Therapy For Musculoskeletal InfectionGoutJoint InfectionsMicrobiology Of Musculoskeletal InfectionSeptic ArthritisAcute Gout TreatmentAcute Gouty ArthritisAcute Septic ArthritisAnkle Septic ArthritisInfectious Arthritis ComplicationsMonosodium Urate CrystalsPasteurella Multocida InfectionSeptic Ankle Arthritis
A 74-year-old man with chronic lymphocytic leukemia, immune purpura, and gout presented with a painful, swollen ankle after a cat bite to his leg. On aspiration of the ankle, gram negative pleomorphic rods and monosodium urate crystals were seen and Pasteurella multocida was cultured. He was treated with ampicillin/sulbactam, joint aspiration, and intraarticular steroids, with resolution of infection and return of joint function. The syndromes of Pasteurella arthritis and crystal arthropathy with septic arthritis are reviewed.