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Journal of Clinical Microbiology, March 2001, p. 1202-1203, Vol. 39, No. 3
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.3.1202-1203.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Case of Synovitis Potentially Caused by Dolosigranulum pigrum

G. S. Hall,1,* S. Gordon,2 S. Schroeder,1 K. Smith,1 K. Anthony,1 and G. W. Procop1

Departments of Clinical Pathology1 and Infectious Diseases,2 Cleveland Clinic Foundation, Cleveland, Ohio 44195-5140

Received 21 August 2000/Returned for modification 23 October 2000/Accepted 8 December 2000

We report a case of synovitis in a 64-year-old man who developed the infection while on steroid therapy for rheumatoid arthritis. Dolosigranulum pigrum, a gram-positive catalase-negative coccus, was isolated from two sets of blood cultures prior to antibiotic therapy. The patient was treated with 4 weeks of appropriate antibiotics, and the synovial inflammation resolved. Although synovial aspirates were never positive for any bacteria or fungi, the timing of positive blood cultures and absence of other pathogens suggest the possible etiology as D. pigrum.


* Corresponding author. Mailing address: Clinical Microbiology, L-40, Cleveland Clinic Foundation, Department of Clinical Pathology, 9500 Euclid Ave., Cleveland, OH 44195-5140. Phone: (216) 444-5990. Fax: (216) 445-6984. E-mail: hallg{at}ccf.org.


Journal of Clinical Microbiology, March 2001, p. 1202-1203, Vol. 39, No. 3
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.3.1202-1203.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.



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