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

  • B. Heym
  • F. Jouve
  • M. Lemoal
  • A. Veil-Picard
  • A. Lortat-Jacob
  • M.H. Nicolas-Chanoine
Knee

DOI: 10.1007/s00167-005-0022-5

Cite this article as:
Heym, B., Jouve, F., Lemoal, M. et al. Knee Surg Sports Traumatol Arthrosc (2006) 14: 993. doi:10.1007/s00167-005-0022-5

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 multocidaInfectionDog lickTotal knee arthroplasty

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • B. Heym
    • 1
  • F. Jouve
    • 2
  • M. Lemoal
    • 1
  • A. Veil-Picard
    • 2
  • A. Lortat-Jacob
    • 2
  • M.H. Nicolas-Chanoine
    • 1
  1. 1.Microbiology Department, Ambroise Paré Hospital, AP-HP, Faculté de Médecine Paris-Ile de France-OuestUVSQBoulogne-BillancourtFrance
  2. 2.Orthopaedics Surgery Department, Ambroise Paré Hospital, AP-HP, Faculté de Médecine Paris-Ile de France-OuestUVSQBoulogne-BillancourtFrance