Haemophilus Parainfluenzae Septic Arthritis Following Primary All-Inside Meniscus Repair: A Case Report and Review of the Literature

Iowa Orthop J. 2020;40(1):111-114.

Abstract

Background: Haemophilus parainfluenzae (H. parainfluenzae) is a gram-negative rod that inhabits the oral cavity. It is a common cause of respiratory tract infections and rarely is responsible for musculoskeletal infections in immunocompetent hosts. We present a case of a 17-year-old male whose postoperative course following arthroscopic all-inside meniscus repair was complicated with H. parainfluenzae septic arthritis. The infection was successfully cleared with two arthroscopic irrigation and debridements and antibiotic therapy. The patient successfully returned to full-contact high school football at five months postoperatively. To our knowledge, this represents the first reported case of H. parainfluenzae infection following an orthopaedic procedure in an adolescent. Level of Evidence: IV.

Keywords: arthroscopy; haemophilus parainfluenzae; infection; knee; meniscus; septic arthritis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Amoxicillin / therapeutic use
  • Ampicillin / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Arthritis, Infectious / drug therapy*
  • Arthritis, Infectious / microbiology
  • Arthritis, Infectious / surgery*
  • Debridement
  • Haemophilus Infections / drug therapy*
  • Haemophilus Infections / surgery*
  • Haemophilus parainfluenzae
  • Humans
  • Male
  • Surgical Wound Infection / microbiology
  • Surgical Wound Infection / surgery*
  • Therapeutic Irrigation
  • Tibial Meniscus Injuries / surgery*

Substances

  • Anti-Bacterial Agents
  • Ampicillin
  • Amoxicillin