Title |
Pasteurella multocida infection of a total knee arthroplasty after a “dog lick”
|
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Published in |
Knee Surgery, Sports Traumatology, Arthroscopy, February 2006
|
DOI | 10.1007/s00167-005-0022-5 |
Pubmed ID | |
Authors |
B. Heym, F. Jouve, M. Lemoal, A. Veil‐Picard, A. Lortat‐Jacob, M.H. Nicolas‐Chanoine |
Abstract |
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. |
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