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Rare disease
Brucella arthritis of the knee, 1 year after revision of anterior cruciate ligament reconstruction
  1. S G Papastergiou,
  2. N E Koukoulias,
  3. P Koumis,
  4. D Kyparlis,
  5. R Santas
  1. Department of Orthopaedics, Agios Pavlos General Hospital, Thessaloniki, Greece
  1. Correspondence to Nikolaos E Koukoulias, nkoukoulias{at}


Brucellosis is a zoonotic infection with a broad spectrum of clinical manifestations. The authors report the first case in the literature of septic arthritis of the knee 1 year after revision of anterior cruciate ligament reconstruction. Brucella melitensis biotype 3 was found in both synovial fluid and blood cultures. The patient was treated initially with arthroscopic debridement. After the diagnosis was confirmed, a second arthroscopic lavage and metal work removal was applied leaving the graft in place. Antimicrobial chemotherapy was prescribed for 3 months. The infection was fully eradicated and the patient is still asymptomatic, 4 years after the treatment.

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  • Competing interests None.

  • Patient consent Obtained.

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