Pasteurella multocida infection of a total knee arthroplasty after a "dog lick"

被引:22
作者
Heym, Beate
Jouve, F.
Lemoal, M.
Veil-Picard, A.
Lortat-Jacob, A.
Nicolas-Chanoine, M. H.
机构
[1] UVSQ, Fac Med Paris Ile de France Ouest, Ambroise Pare Hosp, AP HP,Microbiol Dept, F-92100 Boulogne, France
[2] UVSQ, Fac Med Paris Ile de France Ouest, Ambroise Pare Hosp, AP HP,Orthopaed Surg Dept, F-92100 Boulogne, France
关键词
Pasteurella multocida; infection; dog lick; total knee arthroplasty;
D O I
10.1007/s00167-005-0022-5
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The patient we report here underwent a total knee arthroplasty (TKA) which got infected with P. multocida after her dog had licked a small wound at the third toe of the same foot. Despite a correct treatment comprising synovectomy and cleansing, and an active antibiotic treatment for 3 months, the patient was readmitted for persistent infection of the same knee 2 weeks after the end of the antibiotic treatment. Sampling during surgery allowed for the growth of a P. multocida isolate proven by a molecular method to be identical to the previously isolated strain. This recurrent P. multocida infection was treated by a two-step change of the TKA comprising a 2-month period of antibiotic treatment between the two surgical interventions.
引用
收藏
页码:993 / 997
页数:5
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