{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T09:05:17Z","timestamp":1789290317699,"version":"build-2803163510"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"9","content-domain":{"domain":["jocr.co.in"],"crossmark-restriction":true},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction:\nSerratia marcescens is an opportunistic Gram-negative bacterium infrequently implicated in septic arthritis, with ankle involvement reported only in isolated cases.\n\nCase Report:\nWe present a 45-year-old male with systemic lupus erythematosus on long-term corticosteroids, prior ischemic stroke with residual left hemiparesis, and end-stage renal disease on hemodialysis through a permanent catheter, who developed septic arthritis of the left ankle following a recent episode of presumptive hospital-acquired pneumonia. Concurrent blood and joint aspirate cultures both confirmed S. marcescens with antimicrobial susceptibilities largely retained (resistant only to ceftriaxone and cefoperazone-sulbactam), supporting.\n\nConclusion:\nThis case highlights the importance of considering a broad range of pathogens in immunocompromised patients with acute monoarthritis, the value of concurrent blood and synovial cultures in identifying the infectious source, and the use of ring fixator arthrodesis as a biologically appropriate solution for infected, systemically compromised joints.\n\nKeywords:\nSerratia marcescens , septic arthritis , ankle , systemic lupus erythematosus , end-stage renal disease , ankle arthrodesis , Ilizarov ring fixator<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i09.8068","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T07:41:06Z","timestamp":1788853266000},"page":"291-296","update-policy":"https:\/\/doi.org\/10.13107\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Serratia Marcescens Septic Arthritis of the Ankle in a Compromised Host: Ring Fixator Arthrodesis as Salvage, a Case Report"],"prefix":"10.13107","volume":"16","author":[{"given":"Shubham","family":"Jaiswal","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Utkarsh Kumar Reddy","family":"Gopavaram","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harkaran Singh","family":"Khosa","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T08:45:23Z","timestamp":1789289123000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/09\/serratia-marcescens-septic-arthritis-of-the-ankle-in-a-compromised-host-ring-fixator-arthrodesis-as-salvage-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i09.8068","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Research Article","name":"content_type","label":"Content Type"},{"value":"Yes","name":"crosschecked","label":"CrossChecked"},{"value":"Yes","name":"peer_reviewed","label":"Peer Reviewed"},{"value":"10.13107\/jocr.2026.v16.i09.8068","name":"published","label":"Published"},{"value":"Creative Commons Attribution","name":"license","label":"License","explanation":{"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},"group":{"name":"rights","label":"Rights"}}]}}