Bilateral septic knee arthritis after treatment of an ectopic pregnancy with methotrexate

Abstract

Fatih Karaaslan,1 Musa Uğur Mermerkaya,1 Emre Yurdakul,2 Özlem Tanin3 1Department of Orthopaedics and Traumatology, Faculty of Medicine, Bozok University, Yozgat, Turkey; 2Department of Orthopaedics and Traumatology, Osmaniye State Hospital, Osmaniye, Turkey; 3Department of Gynecology and Obstetrics, Faculty of Medicine, Bozok University, Yozgat, Turkey Abstract: We describe a case of bilateral septic knee arthritis that followed the administration of methotrexate for nonsurgical termination of an ectopic pregnancy. We believe that methotrexate is a relatively effective alternative to surgery in patients with early unruptured tubal pregnancies, but suggest that it be used with caution in view of possible septic events. Keywords: bilateral septic arthritis, methotrexate, ectopic pregnancy, immunsupression