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Yersinia enterocolitica Infection of a Prosthetic Knee Joint. Case Report and Review of the Literature on Deep Sited Infections Caused by Y. enterocolitica

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DOI: 10.4236/aid.2013.32015    2,721 Downloads   4,522 Views   Citations

ABSTRACT

Prosthetic joint infection is a rare manifestation of Yersinia enterocolitica. We report a case of a patient presenting with fever and a purulent infection in his prosthetic knee joint caused by Y. enterocolitica. He had been operated in 1990 for arthrosis of the right knee. Re-operation was performed in 2007 for loosening of the prosthesis. Seven months later, following progressively increasing knee pain, he became acutely febrile and a purulent knee joint infection was diagnosed. Y. enterocolitica was isolated from the joint fluid. Serum antibodies against Y. enterocolitica were also positive. He was treated with debridement, replacement of the liner component of the prosthesis and a long course of intravenous antimicrobial therapy. The infection was thought to be in a chronic suppressive state. The final outcome after all therapy was good.

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P. Jalava-Karvinen, J. Oksi, K. Rantakokko-Jalava, P. Virolainen and P. Kotilainen, "Yersinia enterocolitica Infection of a Prosthetic Knee Joint. Case Report and Review of the Literature on Deep Sited Infections Caused by Y. enterocolitica," Advances in Infectious Diseases, Vol. 3 No. 2, 2013, pp. 95-99. doi: 10.4236/aid.2013.32015.

References

[1] J. M. Townes, “Reactive Arthritis after Enteric Infections in the United States: The Problem of Definition,” Clinical Infectious Diseases, Vol. 50, No. 2, 2010, pp. 247-254. doi:10.1086/649540
[2] E. Huovinen, L. M. Sihvonen, M. J. Virtanen, K. Haukka, A. Siitonen and M. Kuusi, “Symptoms and Sources of Yersinia enterocolitica-Infection: A Case-Control Study,” BMC Infectious Diseases, Vol. 10, 2010, pp. 122-130. doi:10.1186/1471-2334-10-122
[3] L. Iglesias, J. M. Garcia-Arenzana, A. Valiente, M. Gomariz and E. Pérez-Trallero, “Yersinia enterocolitica O:3 Infection of a Prosthetic Knee Joint Related to Recurrent Hemarthrosis,” Scandinavian Journal of Infectious Diseases, Vol. 34, No. 2, 2002, pp. 132-133. doi:10.1080/00365540110080278
[4] J. A. Oni and T. Kangesu, “Yersinia enterocolitica Infection of a Prosthetic Knee Joint,” British Journal of Clinical Practice, Vol. 45, No. 3, 1991, p. 225.
[5] S. M. Kurtz, K. L. Ong, E. Lau, K. J. Bozic, D. Berry and J. Parvizi, “Prosthetic Joint Infection Risk after TKA in the Medicare Population,” Clinical Orthopaedics and Related Research, Vol. 468, No. 1, 2010, pp. 52-56. doi:10.1007/s11999-009-1013-5
[6] J. L. Del Pozo and R. Patel, “Infection Associated with Prosthetic Joints,” New England Journal of Medicine, Vol. 361, No. 8, 2009, pp. 787-794. doi:10.1056/NEJMcp0905029
[7] K. Hougaard and P. Sogaard, “Yersinia enterocolitica Coxitis after Hip Replacement,” Acta Orthopaedica Scandinavica, Vol. 61, No. 4, 1990, pp. 364-366. doi:10.3109/17453679008993538
[8] J. Verhagen, G. Dedeyne, W. Vansteenbergen and J. Vandepitte, “Rupture of Vascular Prothesis in a Patient with Yersinia enterocolitica Bacteremia,” Diagnostic Microbiology and Infectious Disease, Vol. 3, No. 5, 1985, pp. 451-454. doi:10.1016/0732-8893(85)90084-7
[9] C. Abad, G. Ponge and R. Elcuaz, “Early Vascular Graft Infection Due to Yersinia enterocolitica after Repair of an Abdominal Aortic Aneurysm,” Journal of Cardiovascular Surgery, Vol. 5, No. 2, 2004, pp. 161-162.
[10] E. Pras, N. Arber, J. Pinkhas and Y. Sidi, “Yersinia enterocolitica Endocarditis on a Prosthetic Valve,” Postgraduate Medical Journal, Vol. 68, No. 803, 1992, pp. 762-763. doi:10.1136/pgmj.68.803.762
[11] H. Giamarellou, A. Antoniadou, K. Kanavos, C. Papaioannou, S. Kanatakis and K. Papadaki, “Yersinia enterocolitica Endocarditis: Case Report and Literature Review,” European Journal of Clinical Microbiology and Infectious Diseases, Vol. 14, 1995, No. 2, pp. 126-130.
[12] G. R. Plotkin and J. N. O′Rourke Jr., “Mycotic Aneurysm Due to Yersinia enterocolitica,” American Journal of Medical Sciences, Vol. 281, No. 1, 1981, pp. 35-42. doi:10.1097/00000441-198101000-00006
[13] J. I. Sebes, E. H. Mabry Jr. and J. G. Rabinowitz, “Lung Abscess and Osteomyelitis of Rib Due to Yersinia enterocolitica,” Chest, Vol. 69, No. 4, 1976, pp. 546-548. doi:10.1378/chest.69.4.546
[14] M. F. Casey, P. H. Gillian and M. L. Smiley, “Yersinia enterocolitica Meningitis and Osteomyelitis: A Case Report,” Diagnostic Microbiology and Infectious Disease, Vol. 8, No. 1, 1987, pp. 47-50. doi:10.1016/0732-8893(87)90046-0
[15] M. Ellenrieder, A. E. Zautner, A. Podbielski, R. Bader and W. Mittelmeier, “Spondylodiscitis of the Lumbar Spine in a Non-Immunocompromised Host Caused by Yersinia enterocolitica O:9,” Archives of Orthopaedic and Trauma Surgery, Vol. 130, No. 4, 2010, pp. 469-471. doi:10.1007/s00402-009-0921-x
[16] K. von Eckardstein, A. Spuler, C. Brauer, M. Mehl and J. Kiwit, “Spontaneous Cervical Osteomyelitis Due to Yersinia enterocolitica in a Non-Immunocompromised Host,” European Journal of Clinical Microbiology and Infectious Diseases, Vol. 23, No. 1, 2004, pp. 66-68. doi:10.1007/s10096-003-1065-5
[17] J. T. Sinnott 4th, H. Multhopp, J. Leo and G. Rechtine, “Yersinia enterocolitica Causing Spinal Osteomyelitis and Empyema in a Nonimmunocompromised Host,” Southern Medical Journal, Vol. 82, No. 3, 1989, pp. 399-400. doi:10.1097/00007611-198903000-00033
[18] M. Crowe, K. Ashford and P. Ispahani, “Clinical Features and Antibiotic Treatment of Septic Arthritis and Osteomyelitis Due to Yersinia enterocolitica,” Journal of Medical Microbiology, Vol. 45, No. 4, 1996, pp. 302-309.doi:10.1099/00222615-45-4-302

  
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