{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:43:45Z","timestamp":1787755425596,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>\n                      A 21-year-old Division I football player with remote history of anterior cruciate ligament (ACL) reconstruction presented with\n                      <jats:italic toggle=\"yes\">Proteus mirabilis<\/jats:italic>\n                      septic arthritis and underwent emergent arthroscopic irrigation and debridement, followed by targeted antibiotic therapy. Repeat irrigation was required due to persistent purulent drainage. Three months later, he sustained a traumatic ACL graft rupture and underwent revision ACL reconstruction with excellent return to sport.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      This rare case of\n                      <jats:italic toggle=\"yes\">P. mirabilis<\/jats:italic>\n                      septic arthritis following prior ACL reconstruction in a Division I athlete emphasizes the importance of considering atypical pathogens, even in low-risk individuals. Prompt diagnosis, debridement, and antibiotics are critical, although subsequent ACL graft rupture highlights potential increased reinjury risk.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00566","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T19:00:36Z","timestamp":1772132436000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Proteus Mirabilis Septic Arthritis in an Elite Athlete with Remote History of ACL Reconstruction"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6451-4412","authenticated-orcid":false,"given":"Austin Q.","family":"Nguyen","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Sports Medicine, Houston Methodist Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2147-5761","authenticated-orcid":false,"given":"Justin M.","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Sports Medicine, Houston Methodist Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2060-8333","authenticated-orcid":false,"given":"Andrew C.","family":"Riga","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Sports Medicine, Houston Methodist Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9274-284X","authenticated-orcid":false,"given":"Patrick C.","family":"McCulloch","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Sports Medicine, Houston Methodist Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"issue":"9717","key":"bib1-20260226","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1016\/S0140-6736(09)61595-6","article-title":"Bacterial septic arthritis in adults","volume":"375","author":"Mathews","year":"2010","journal-title":"Lancet."},{"issue":"4","key":"bib2-20260226","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1128\/CMR.15.4.527-544.2002","article-title":"Acute septic arthritis","volume":"15","author":"Shirtliff","year":"2002","journal-title":"Clin Microbiol Rev."},{"issue":"1","key":"bib3-20260226","first-page":"40","article-title":"The epidemiology and outcome of acute septic arthritis: a hospital based study","volume":"3","author":"Mue","year":"2013","journal-title":"J West Afr Coll Surg."},{"issue":"3","key":"bib4-20260226","doi-asserted-by":"crossref","first-page":"ofaa089","DOI":"10.1093\/ofid\/ofaa089","article-title":"Septic arthritis and the opioid epidemic: 1465 cases of culture-positive native joint septic arthritis from 1990-2018","volume":"7","author":"Ross","year":"2020","journal-title":"Open Forum Infect Dis."},{"key":"bib5-20260226","doi-asserted-by":"crossref","first-page":"197","DOI":"10.11604\/pamj.2017.26.197.12271","article-title":"Proteus mirabilis septic arthritis","volume":"26","author":"Sbiti","year":"2017","journal-title":"Pan Afr Med J."},{"issue":"6","key":"bib6-20260226","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1046\/j.1442-200X.2001.01456.x","article-title":"Bilateral septic arthritis of the knee joint in three children caused by unusual infectious agents","volume":"43","author":"Hacimustafao\u011flu","year":"2001","journal-title":"Pediatr Int."},{"issue":"10","key":"bib7-20260226","doi-asserted-by":"crossref","first-page":"4090","DOI":"10.1007\/s00167-023-07498-6","article-title":"Poorer patient-reported outcome and increased risk of revision at a 5-year follow-up among patients with septic arthritis following anterior cruciate ligament reconstruction: a register-based cohort study of 23,075 primary anterior cruciate ligament reconstructions","volume":"31","author":"Schmitz","year":"2023","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"issue":"10","key":"bib8-20260226","doi-asserted-by":"crossref","first-page":"4204","DOI":"10.1007\/s00167-023-07463-3","article-title":"ESSKA and EBJIS recommendations for the management of infections after anterior cruciate ligament reconstruction (ACL-R): prevention, surgical treatment and rehabilitation","volume":"31","author":"P\u00e9rez-Prieto","year":"2023","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"issue":"6","key":"bib9-20260226","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1177\/1941738120944256","article-title":"Muscle atrophy after ACL injury: implications for clinical practice","volume":"12","author":"Lepley","year":"2020","journal-title":"Sports Health."},{"issue":"12","key":"bib10-20260226","doi-asserted-by":"crossref","first-page":"2910","DOI":"10.1177\/0363546519869326","article-title":"Professional athletes are at higher risk of septic arthritis after anterior cruciate ligament reconstruction: an analysis of 4421 consecutive patients including 265 elite athletes from the SANTI Study Group","volume":"47","author":"Sonnery-Cottet","year":"2019","journal-title":"Am J Sports Med."},{"issue":"8","key":"bib11-20260226","doi-asserted-by":"crossref","first-page":"2578","DOI":"10.1007\/s00167-020-05879-9","article-title":"Vancomycin-soaked autografts during ACL reconstruction reduce the risk of post-operative infection without affecting return to sport or knee function","volume":"28","author":"Bohu","year":"2020","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"issue":"9","key":"bib13-20260226","doi-asserted-by":"crossref","first-page":"3014","DOI":"10.1007\/s00167-018-5323-6","article-title":"Vancomycin pre-soaking of the graft reduces postoperative infection rate without increasing risk of graft failure and arthrofibrosis in ACL reconstruction","volume":"27","author":"Offerhaus","year":"2019","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"issue":"3","key":"bib14-20260226","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1016\/j.arthro.2011.08.301","article-title":"A surgical technique using presoaked vancomycin hamstring grafts to decrease the risk of infection after anterior cruciate ligament reconstruction","volume":"28","author":"Vertullo","year":"2012","journal-title":"Arthroscopy."},{"issue":"10","key":"bib15-20260226","doi-asserted-by":"crossref","first-page":"2376","DOI":"10.1177\/0363546518782433","article-title":"Septic arthritis after anterior cruciate ligament reconstruction: how important is graft salvage?","volume":"46","author":"Pogorzelski","year":"2018","journal-title":"Am J Sports Med."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00566","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:42:35Z","timestamp":1787751755000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00566"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00566","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}