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Joint Bone Spine
Volume 69, n° 5
pages 499-501 (octobre 2002)
Received : 21 Mars 2001 ;  accepted : 19 September 2001
Septic arthritis due to Actinomyces naeslundii: report of a case

Thierry  Lequerré 1 ,  Michèle  Nouvellon 2 ,  Kataryna  Kraznowska 1 ,  Marie-Claire  Bruno 1 ,  Olivier  Vittecoq 1 ,  Othmane  Mejjad 1 ,  Alain  Daragon 1 * ,  Xavier  Le Loët 1
1Rheumatology Department, Rouen University Hospital Charles-Nicolle, Unit INSERM 519, IFR 23, 76000 Rouen cedex 76031, France 
2 Bacteriology Department, Rouen University Hospital Charles-Nicolle, 76000 Rouen cedex 76031, France 

*Correspondence and reprints: Service de Rhumatologie, Hôpital de Boisguillaume, Centre Hospitalier Universitaire de Rouen, 76031 Rouen cedex, France
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In a man with osteoarthritis of the knee, Actinomyces naeslundii septic arthritis developed after intra-articular injection of hyaluronate. Actinomyces is an anaerobic Gram-positive rod. The outcome was favorable after treatment with two antibiotics and arthroscopy. The nature of the organism and its location to a joint are unusual features of this case, which illustrates the need to search for a septic complication before accepting a diagnosis of inflammation related to hyaluronate injection.

Mots clés  : Actinomyces naeslundii ; hyaluronate ; knee ; septic arthritis.

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