Two cases of Leclercia adecarboxylata septic arthritis in immunocompetent paediatric patients

Ramesh Arasu; Yean Hsiang Ewe; Abavasankar Sundaram; David Anthony Foley; Anita Jane Campbell; Timothy Robin William Fletcher; Pamela Palasanthiran; Arnold Suzuki

doi:10.1099/acmi.0.000325

Two cases of Leclercia adecarboxylata septic arthritis in immunocompetent paediatric patients

Access Microbiol. 2022 Feb 28;4(2):000325. doi: 10.1099/acmi.0.000325. eCollection 2022.

Authors

Ramesh Arasu¹, Yean Hsiang Ewe^{2

3}, Abavasankar Sundaram⁴, David Anthony Foley², Anita Jane Campbell^{2

3}, Timothy Robin William Fletcher⁴, Pamela Palasanthiran^{5

6}, Arnold Suzuki⁷

Affiliations

¹ School of Medicine, University of Western Australia, Nedlands, Western Australia, Australia.
² Infectious Diseases, Perth Children's Hospital, 15 Hospital Avenue, Nedlands 6009, Western Australia, Australia.
³ Wesfarmers Centre of Vaccines and Infectious Diseases, Telethon Kids Institute, Perth, Western Australia, Australia.
⁴ Department of Orthopaedic Surgery, Bunbury Regional Hospital, Bussell Highway, Bunbury 6230, Australia.
⁵ Department of Immunology and Infectious Diseases, Sydney Children's Hospital Network, High Street, Randwick 2031, New South Wales, Australia.
⁶ School of Women's and Child Health, University of New South Wales, Kensington, Sydney 2052, New South Wales, Australia.
⁷ Department of Orthopaedic Surgery, Sydney Children's Hospital, High Street, Randwick 2031, New South Wales, Australia.

Abstract

Leclercia adecarboxylata is a rare cause of septic arthritis in children, and has intrinsic resistance to common antibiotics. We describe two cases of L. adecarboxylata septic arthritis in children that required re-presentation to hospital with prolonged treatment, and highlight the importance of considering L. adecarboxylata as a potential cause of infection among children with penetrating injuries and associated environmental exposure.

Keywords: Leclercia adecarboxylata; immunocompetent; infection; septic arthritis.

Publication types

Case Reports