Pasteurella multocida infection of a total knee arthroplasty after a “dog lick”
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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.
KeywordsPasteurella multocida Infection Dog lick Total knee arthroplasty
- 2.Aufauvre-Brown A, Cohen J, Holden D (1992) Use of randomly amplified polymorphic DNA markers to distinguish isolates of Aspergillus fumigatus. J Clin Microb 30:2991–2993Google Scholar
- 7.Gabuzda GM, Barnett PR (1992) Pasteurella infection in a total knee arthroplasty. Orthop Rev 21:604–605Google Scholar
- 13.Huber BS, Allred DV, Carmen JC, Frame DD, Whiting DG, Cryan JR, Olson TR, Jackson PJ, Hill K, Laker MT, Robison RA (2002) Random amplified polymorphic DNA and amplified fragment length polymorphism analyses of Pasteurella multocida isolates from fatal fowl cholera infections. J Clin Microb 40:2163–2168CrossRefGoogle Scholar