{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:28:29Z","timestamp":1787754509924,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2015,6,24]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A healthy young adult underwent irrigation and debridement after experiencing minimal blunt trauma involving the ankle. Culture of synovial fluid demonstrated growth of group-B streptococci. Magnetic resonance imaging of the joint at three months of follow-up demonstrated synovitis without signs of osteomyelitis. At one year of follow-up, the patient reported resolution of pain and return of range of motion to normal baseline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Septic arthritis of the ankle can lead to joint destruction if not immediately diagnosed and treated. Empiric antimicrobial therapy should be administered while awaiting bacterial identification on the basis of culture of synovial fluid. Group-B streptococci are a more common cause of septic arthritis in the pediatric and peripartum populations; however, hematogenous spread can translocate these bacteria from the genitourinary tract to joints in all age groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.n.00170","type":"journal-article","created":{"date-parts":[[2015,6,24]],"date-time":"2015-06-24T22:40:48Z","timestamp":1435185648000},"page":"e52","source":"Crossref","is-referenced-by-count":2,"title":["Septic Arthritis of the Ankle Caused by Group-B Streptococci Following Blunt Trauma"],"prefix":"10.2106","volume":"5","author":[{"given":"John","family":"Chin","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708. E-mail address for J. Chin:"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Douglas","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708. E-mail address for J. Chin:"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"4","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"e62","DOI":"10.2106\/JBJS.CC.L.00035","article-title":"Septic arthritis of the hip caused by group B Streptococcus in a postpartum patient","volume":"2","author":"Mehta","year":"2012","journal-title":"JBJS Case Connect."},{"issue":"3","key":"bib2-20230712","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1016\/j.berh.2011.02.001","article-title":"Septic arthritis","volume":"25","author":"Garc\u00eda-Arias","year":"2011","journal-title":"Best Pract Res Clin Rheumatol."},{"issue":"1","key":"bib3-20230712","doi-asserted-by":"crossref","first-page":"e6","DOI":"10.2106\/JBJS.CC.K.00013","article-title":"Septic arthritis of two joints following blunt trauma: a case report and review of the literature","volume":"1","author":"Wilmoth","year":"2011","journal-title":"JBJS Case Connect."},{"issue":"8","key":"bib4-20230712","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1097\/PEC.0b013e31826288bf","article-title":"Arthritis caused by group B Streptococcus: a case report","volume":"28","author":"Perotti","year":"2012","journal-title":"Pediatr Emerg Care."},{"issue":"2","key":"bib5-20230712","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1097\/00005792-200303000-00006","article-title":"Group B Streptococcus (Streptococcus agalactiae) pyogenic arthritis in nonpregnant adults","volume":"82","author":"Nolla","year":"2003","journal-title":"Medicine (Baltimore)."},{"issue":"6","key":"bib6-20230712","doi-asserted-by":"crossref","first-page":"1388","DOI":"10.1007\/s11999-008-0229-0","article-title":"Hematogenous septic ankle arthritis","volume":"466","author":"Holtom","year":"2008","journal-title":"Clin Orthop Relat Res."},{"issue":"1","key":"bib7-20230712","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/S1699-258X(09)70199-8","article-title":"[Polyarticular septic arthritis: analysis of 19 cases]","volume":"5","author":"Mateo Soria","year":"2009","journal-title":"Reumatol Clin."},{"issue":"5","key":"bib8-20230712","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1053\/j.jfas.2011.04.039","article-title":"Septic arthritis of the adult ankle joint secondary to Salmonella enteritidis: a case report","volume":"50","author":"Munigangaiah","year":"2011","journal-title":"J Foot Ankle Surg."},{"issue":"2","key":"bib9-20230712","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1053\/j.jfas.2012.10.012","article-title":"Subtalar joint septic arthritis in a patient with hypogammaglobulinemia","volume":"52","author":"Wynes","year":"2013","journal-title":"J Foot Ankle Surg."},{"issue":"3","key":"bib10-20230712","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1053\/j.jfas.2011.02.005","article-title":"Ankle joint sepsis with subsequent osteomyelitis in an adult patient without identifiable etiologies: a case report","volume":"50","author":"Shadrick","year":"2011","journal-title":"J Foot Ankle Surg."},{"issue":"3","key":"bib11-20230712","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1086\/315773","article-title":"Severity of group B streptococcal arthritis is correlated with beta-hemolysin expression","volume":"182","author":"Puliti","year":"2000","journal-title":"J Infect Dis."},{"issue":"9097","key":"bib12-20230712","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/S0140-6736(97)09522-6","article-title":"Septic arthritis","volume":"351","author":"Goldenberg","year":"1998","journal-title":"Lancet."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01709767-201505020-00025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:28:35Z","timestamp":1787750915000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01709767-201505020-00025"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2015,6,24]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.n.00170","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,6,24]]}}}