Table 2 Patient characteristics, treatment and outcome
Patient number | Sex/age | Past history | Injection count | Incubation period (weeks)a | Antibiotics and surgeriesb | Outcome (range of motion) |
|---|---|---|---|---|---|---|
1e | F/54 | Breast cancer | Six | 4 | Cefazolin (2 days) Ceftazidime (8 days) + vancomycin (3 days) → ceftazi dayime + teicoplanin (2 days) Amikacin (68 days) + imipenem (81 days) + clarithromycin (184 day) Arthroscopic irrigation and debridement (X2) Brisement Readmission due to knee abscess Imipenem (8 days) + clarithromycin (137 days) Arthroscopic irrigation and debridement Incision and drainage of knee abscess | Rt. 0–120 Lt. 0–120 |
2 | F/51 | Hypertension | Six | 4 | Cefazolin (2 days) Ceftazidime (7 days) + vancomycin (7 days) Amikacin (30 days) + imipenem (110 days) + clarithromycin (171 days) Arthroscopic irrigation and debridement (X2) Incision and drainage (X3) of back, buttock abscesses Arthroscopic irrigation and debridement Brisement (X2) Arthroscopic adhesiolysis Readmission due to thigh, calf abscesses Imipenem (12 days) + clarithromycin (92 days) Incision and drainage of abscesses | Full |
3 | F/56 | Diabetes mellitus | Two | 6 | Cefazolin (4 days) Ceftazidime (3 days) + vancomycin (3 days) Amikacin (34 days) + imipenem (80 days) + clarithromycin (174 days) Arthroscopic irrigation and debridement (X3) Arthroscopic adhesiolysis Brisement Open excision of back abscess | Full |
4 | F/65 | Diabetes mellitus | Multiple (above eight) | 7 | Cefazolin (1 day) Ceftazidime (2 days) + vancomycin (2 days) Amikacin (29 days) + imipenem (81 days) + clarithromycin (399 days) Arthroscopic irrigation and debridement (X2) Excision of thigh abscess Incision and drainage of back abscess | Full |
5 | F/59 | Subclinical hypothyroidism | Four | 3 | Cefazolin (1 day) Ceftazidime (3 days) + vancomycin (3 days) Amikacin (27 days) + imipenem (81 days) + clarithromycin (100 days) Arthroscopic irrigation and debridement (X2) Arthroscopic adhesiolysis Brisement Readmission due to recurrence of septic arthritis and buttock abscess Imipenem (25 days) + clarithromycin (160 days) Arthroscopic irrigation and debridement Incision and drainage of buttock abscess | Full |
6f | F/63 | Hyperlipidemia Osteoarthritis | Fivec | 2 | Ceftazidime (3 days) + vancomycin (3 days) Amikacin (29 days) + imipenem (46 days) + clarithromycin (321 days) Arthroscopic irrigation and debridement | Rt. 0–125 |
7g | M/61 | Psoriasis Septic arthritis | Two | 5–9 (assumedd) | Ceftazidime (1 day) + vancomycin (1 day) Amikacin (27 days) + imipenem (233 days) + clarithromycin (253 days) Arthroscopic irrigation and debridement (X5) Incision and drainage (X5) of popliteal fossa, both buttock, thigh and knee abscesses Brisement Excision of thigh, knee abscesses | Rt. 0–125 Lt. 0–120 |
8 | F/71 | Hypertension Diabetes mellitus Herniated intervertebral disc | Multiple (above six) | 3 | Cefazolin (1 day) Ceftazidime (3 days) + vancomycin (3 days) Amikacin (16 days) + imipenem (71 days) + clarithromycin (117 days) Arthroscopic irrigation and debridement Excision and revision of necrotic wounds of neck, back Debridement of back abscess Arthroscopic irrigation and debridement Incision and drainage of neck, back abscesses Readmission due to abscesses of multiple sites Imipenem (34 days) + clarithromycin (98 days) Arthroscopic irrigation and debriment Incision and drainage of neck, back, buttock and leg abscesses Outpatient clinic follow up due to abscesses of multiple sites Imipenem (15 days) + clarithromycin (62 days) + levofloxacin (28 days) Readmission due to Rt. leg, back abscesses Imipenem (25 days) + clarithromycin (29 days) Incision and drainage, excision of abscesses Outpatient clinic follow up due to abscesses of multiple sites Clarithromycin (77 days) + linezolid (57 days) Amikacin (20 days) + imipenem (20 days) + clarithromycin (294 days) Clarithromycin (99 days) + doxycycline (99 days) | Full |
9h | F/49 | Osteoarthritis | Multiple | 5–8 (presumedd) | Amikacin (6 days) + imipenem (67 days) + clarithromycin (67 days) Arthroscopic irrigation and debridement Brisement Cefoxitin (48 days) + clarithromycin (164 days) Arthroscopic irrigation and debridement Incision and drainage of knee abscess Clarithromycin (88 days) + linezolid (14 days) Readmission due to recurrence of septic arthritis Cefoxitin (13 days) + amikacin (13 days) + clarithromycin (182 days) Readmission due to knee abscess and recurrence of septic arthritis Cefoxitin (38 days) + amikacin (38 days) + clarithromycin (178 days) + [ciprofloxacin (9 days) → levofloxacin (148 days)] Excision of knee abscess | Full |