Solve this exciting clinical case specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case presentation A 92-year-old man presented to his primary care provider with complaints of pain in his left knee caused by osteoarthritis.
The patient received an ultrasound-guided injection of 48 mg Hylan G-F 20 without complications. However, the patient complained of sharp pain and swelling in his left knee about 8 hours after the treatment and went to the emergency room 10 hours after the injection. Pathological examination The culture of the first synovial fluid sample ( taken around 12 h after injection ) revealed a tiny pink, a mucoid colony that did not grow on MacConkey agar 96 hours after the initial sample collection (Cover image a and b) The organism was a Gram-negative bacillus that was…