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To highlight an unusual presentation of bilateral septic arthritis caused by group G streptococcus in an immunocompetent patient.

March 14, 2026JEM ReportsOpen Access

Bilateral Native Knee Septic Arthritis Caused by Group G Streptococcus: A Rare Presentation in an Uncommon Host

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To highlight an unusual presentation of bilateral septic arthritis caused by group G streptococcus in an immunocompetent patient.
Case report of a 74-year-old male with bilateral knee pain and swelling.
Bilateral knee arthrocentesis performed for synovial fluid analysis.
Intravenous antibiotics administered based on culture results.
Bilateral knee effusions observed during examination.
Synovial fluid and blood cultures positively identified group G streptococcus.
Patient recovered after appropriate antibiotic treatment with resolution of symptoms.

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Case report reveals rare bilateral septic arthritis in an immunocompetent individual, suggesting high vigilance is necessary.

Basu et al. (2026) studied this question.

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