Skip to main content
Log in

Prosthetic knee joint infection due to Mycobacterium abscessus

Indian Journal of Orthopaedics Aims and scope Submit manuscript


Infected total knee arthroplasty (TKA) due to Mycobacterium abscessus is very rare with only three such cases described in literature. Only one case was managed successfully, however, with a prolonged course of anti tubercular therapy. In this case report, we present an elderly lady with infected TKA after 2 years of the primary procedure. Although initially it grew different bacteriae, M. abscessus was isolated during the second debridement. She was successfully treated with total of 5 months of second line anti tubercular drugs with revision prosthesis performed during chemotherapy. Two years followup revealed satisfactory outcome with no relapse.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions


  1. Eid AJ, Berbari EF, Sia IG, Wengenack NL, Osmon DR, Razonable RR. Prosthetic joint infection due to rapidly growing mycobacteria: Report of 8 cases and review of the literature. Clin Infect Dis 2007;45:687–94.

    Article  Google Scholar 

  2. Lee YS, Nam SW, Park YS, Lee BK. Mycobacterium wolinskyi infection after total knee arthroplasty in a healthy woman. J Orthop Sci 2015;20:229–31.

    Article  Google Scholar 

  3. Lee RP, Cheung KW, Chiu KH, Tsang ML. Mycobacterium chelonae infection after total knee arthroplasty: A case report. J Orthop Surg (Hong Kong) 2012;20:134–6.

    Article  Google Scholar 

  4. Ryu SW, Lee CK, Heo J, Shin KS, Kim JS, Bae SY, et al. A case of knee joint infection by Mycobacterium abscessus. Korean J Clin Pathol 2001;21:371–6.

    Google Scholar 

  5. Porat MD, Austin MS. Bilateral knee periprosthetic infection with Mycobacterium fortuitum. J Arthroplasty 2008;23:787–9.

    Article  Google Scholar 

  6. Cheung I, Wilson A. Mycobacterium fortuitum infection following total knee arthroplasty: A case report and literature review. Knee 2008;15:61–3.

    Article  Google Scholar 

  7. Herold RC, Lotke PA, MacGregor RR. Prosthetic joint infections secondary to rapidly growing Mycobacterium fortuitum. Clin Orthop Relat Res 1987;216:183–6.

    Google Scholar 

  8. Petrosoniak A, Kim P, Desjardins M, Lee BC. Successful treatment of a prosthetic joint infection due to Mycobacterium abscessus. Can J Infect Dis Med Microbiol 2009;20:e94–6.

    Article  Google Scholar 

  9. Wang SX, Yang CJ, Chen YC, Lay CJ, Tsai CC. Septic arthritis caused by Mycobacterium fortuitum and Mycobacterium abscessus in a prosthetic knee joint: Case report and review of literature. Intern Med 2011;50:2227–32.

    Article  Google Scholar 

  10. Bergogne-Berezin E, Nouhouayi A, Pierre J. Suppuration of prosthesis due to Mycobaceterium chelonei. Rev Fr Mal Respir 1976;4:211–2.

    Google Scholar 

  11. Heathcock R, Dave J, Yates MD. Mycobacterium chelonae hip infection. J Infect 1994;28:104–5.

    Article  CAS  Google Scholar 

  12. Pring M, Eckhoff DG. Mycobacterium chelonae infection following a total knee arthroplasty. J Arthroplasty 1996;11:115–6.

    Article  CAS  Google Scholar 

  13. Badelon O, David H, Meyer L, Radault A, Zucman J. Mycobacterium fortuitum infection after total hip prosthesis. A report of 3 cases (author’s transl). Rev Chir Orthop Reparatrice Appar Mot 1979;65:39–43.

    CAS  Google Scholar 

  14. Delrieu F, Slaoui O, Evrard J, Amor B, Postel M, Kerboull M. Mycobacterial infection of the hip following total prosthesis. Study of 6 cases. Rev Rhum Mal Osteoartic 1986;53:113–8.

    CAS  Google Scholar 

  15. Booth JE, Jacobson JA, Kurrus TA, Edwards TW. Infection of prosthetic arthroplasty by Mycobacterium fortuitum. Two case reports. J Bone Joint Surg Am 1979;61:300–2.

    Article  CAS  Google Scholar 

  16. Horadam VW, Smilack JD, Smith EC. Mycobacterium fortuitum infection after total hip replacement. South Med J 1982;75:244–6.

    Article  CAS  Google Scholar 

  17. Griffith DE, Aksamit T, Brown-Elliott BA, Catanzaro A, Daley C, Gordin F, et al. An official ATS/IDSA statement: Diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases. Am J Respir Crit Care Med 2007;175:367–416.

    Article  CAS  Google Scholar 

  18. Ng SW, Yee Han DL. Lessons learnt from an atypical Mycobacterium infection post-anterior cruciate ligament reconstruction. Clin Orthop Surg 2015;7:135–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Priyadarshi Amit.

Additional information

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Amit, P., Rastogi, S. & Marya, S. Prosthetic knee joint infection due to Mycobacterium abscessus. IJOO 51, 337–342 (2017).

Download citation

  • Published:

  • Issue Date:

  • DOI:

Key words