An unexpected pathogen causing prosthetic joint infection following screening colonoscopy

A 61-year-old woman with a right total knee arthroplasty presented with 1 week of atraumatic right knee swelling, pain, and fevers 2 weeks following a routine screening colonoscopy. Aspiration was concerning for prosthetic joint infection and she underwent definitive treatment with irrigation and de...

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Bibliographic Details
Published inArthroplasty today Vol. 5; no. 4; pp. 427 - 430
Main Authors Yeung, Caleb M., Lichstein, Paul M., Maguire, James H., Lange, Jeffrey K., Estok, Daniel M.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.12.2019
Elsevier
Subjects
Case Report
Endoscopy
Prophylactic antibiotics
Prosthetic joint infection
Total knee arthroplasty
Total knee arthroplasty
Prophylactic antibiotics
Endoscopy
Prosthetic joint infection
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Summary:A 61-year-old woman with a right total knee arthroplasty presented with 1 week of atraumatic right knee swelling, pain, and fevers 2 weeks following a routine screening colonoscopy. Aspiration was concerning for prosthetic joint infection and she underwent definitive treatment with irrigation and debridement with polyethylene exchange followed by a 6-week course of oral metronidazole. Cultures speciated as Bacteroides fragilis with the presumed source being the colonoscopy causing transient bacteremia and subsequent seeding of the right knee. This case highlights the need for consideration of guidelines regarding prophylactic antibiotics to prevent prosthetic joint infection after endoscopic procedures.
ISSN:2352-3441
2352-3441
DOI:10.1016/j.artd.2019.08.006