Knee

Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 14, Issue 10, pp 993-997

Pasteurella multocida infection of a total knee arthroplasty after a “dog lick”

  • B. HeymAffiliated withMicrobiology Department, Ambroise Paré Hospital, AP-HP, Faculté de Médecine Paris-Ile de France-Ouest, UVSQ Email author 
  • , F. JouveAffiliated withOrthopaedics Surgery Department, Ambroise Paré Hospital, AP-HP, Faculté de Médecine Paris-Ile de France-Ouest, UVSQ
  • , M. LemoalAffiliated withMicrobiology Department, Ambroise Paré Hospital, AP-HP, Faculté de Médecine Paris-Ile de France-Ouest, UVSQ
  • , A. Veil-PicardAffiliated withOrthopaedics Surgery Department, Ambroise Paré Hospital, AP-HP, Faculté de Médecine Paris-Ile de France-Ouest, UVSQ
  • , A. Lortat-JacobAffiliated withOrthopaedics Surgery Department, Ambroise Paré Hospital, AP-HP, Faculté de Médecine Paris-Ile de France-Ouest, UVSQ
  • , M.H. Nicolas-ChanoineAffiliated withMicrobiology Department, Ambroise Paré Hospital, AP-HP, Faculté de Médecine Paris-Ile de France-Ouest, UVSQ

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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.

Keywords

Pasteurella multocida Infection Dog lick Total knee arthroplasty