Work

Lactobacillus as a rare cause of an infected total knee replacement: a case report

Year: 2009

Type: article

Abstract: INTRODUCTION: We report a rare case of an infected revision total knee replacement as a result of a Lactobacillus species infection. Lactobacillus infections have been associated with prolonged broad-spectrum antibiotic use. This can have implications in revision surgery, especially when patients have been on previous long-term suppressive antibiotic therapy. CASE PRESENTATION: An 81-year-old British man with a previous history of complex revision knee arthroplasty for infection presented with a hot, swollen knee joint. He had previously been on long-term suppressive antibiotic therapy. Aspiration of the knee joint yielded a culture of Lactobacillus species. CONCLUSION: In patients undergoing revision joint arthroplasty, especially for previous infection, the presence of common and uncommon bacterial species must be excluded and eradicated before further surgical intervention.

Source: Journal of Medical Case Reports

DOI: 10.4076/1752-1947-3-7441

Authors: Navraj Atwal, Akintunde George, Ben Squires, Clayton H Marsh

Institutions: Bristol Royal Infirmary, Royal Devon & Exeter NHS Foundation Trust, Royal Devon and Exeter Hospital, Musgrove Park Hospital, Taunton & Somerset NHS Foundation Trust

Language: English

Topic: Orthopedic Infections and Treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,890