Periprosthetic knee joint infection caused by Brucella melitensis which was first -osteoarticular brucellosis or osteoarthrosis: A case report

Brucellosis is the most common zoonosis worldwide and is endemic in the Middle East, Africa, Asia, and Latin America. However, it is uncommon in Central Europe, and periprosthetic infections caused by are therefore rare. Due to the low prevalence and nonspecific clinical presentation of the disease,...

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Bibliographic Details
Published inWorld journal of clinical cases Vol. 11; no. 3; pp. 677 - 683
Main Authors Stumpner, Thomas, Kuhn, Regina, Hochreiter, Josef, Ortmaier, Reinhold
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 26.01.2023
Subjects
Case Report
Infection
Knee
Brucellosis
Case report
Arthroplasty
Osteoarticular
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Summary:Brucellosis is the most common zoonosis worldwide and is endemic in the Middle East, Africa, Asia, and Latin America. However, it is uncommon in Central Europe, and periprosthetic infections caused by are therefore rare. Due to the low prevalence and nonspecific clinical presentation of the disease, accurate diagnosis can be challenging; no gold standard currently exists for treating brucellosis. Here, we present a 68-year-old Afghan woman living in Austria with a periprosthetic knee infection caused by The interval from total knee arthroplasty to septic loosening was five years. A profound medical history and examinations suggested that the patient had been suffering from unrecognized chronic osteoarticular brucellosis prior to total knee arthroplasty. She was successfully treated by two-stage revision surgery and combined antibiotic therapy over three months. Clinicians should consider brucellosis as a possible cause of chronic arthralgia and periprosthetic infection in patients originating from countries with a high brucellosis burden.
Bibliography:Corresponding author: Thomas Stumpner, MD, Doctor, Staff Physician, Department of Orthopaedic Surgery, Ordensklinikum Linz Barmherzige Schwestern, Seilerstätte 4, Linz 4010, Austria. thomas.stumpner@ordensklinikum.at
Author contributions: Stumpner T performed the follow-up examinations and wrote the manuscript with the support of Kuhn R and Ortmaier R; Kuhn R managed the case and coordinated the involved disciplines; Hochreiter J and Ortmaier R supervised the case; all authors contributed to, read and approved the final manuscript.
ISSN:2307-8960
2307-8960
DOI:10.12998/wjcc.v11.i3.677