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

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 

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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

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