Lactobacillus as a rare cause of an infected total knee replacement: a case report

Navraj Atwal; Akintunde George; Ben Squires; Clayton H Marsh

doi:10.4076/1752-1947-3-7441

Lactobacillus as a rare cause of an infected total knee replacement: a case report

Navraj Atwal, Akintunde George, Ben Squires, Clayton H Marsh

Department for Health

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7 Citations (SciVal)

Abstract

INTRODUCTION: We report a rare case of an infected revision total knee replacement as a result of a Lactobacillus species infection. Lactobacillus infections have been associated with prolonged broad-spectrum antibiotic use. This can have implications in revision surgery, especially when patients have been on previous long-term suppressive antibiotic therapy.

CASE PRESENTATION: An 81-year-old British man with a previous history of complex revision knee arthroplasty for infection presented with a hot, swollen knee joint. He had previously been on long-term suppressive antibiotic therapy. Aspiration of the knee joint yielded a culture of Lactobacillus species.

CONCLUSION: In patients undergoing revision joint arthroplasty, especially for previous infection, the presence of common and uncommon bacterial species must be excluded and eradicated before further surgical intervention.

Original language	English
Pages (from-to)	7441
Journal	CEIBS Case
Volume	3
DOIs	https://doi.org/10.4076/1752-1947-3-7441
Publication status	Published - 31 Jul 2009

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title = "Lactobacillus as a rare cause of an infected total knee replacement: a case report",

abstract = "INTRODUCTION: We report a rare case of an infected revision total knee replacement as a result of a Lactobacillus species infection. Lactobacillus infections have been associated with prolonged broad-spectrum antibiotic use. This can have implications in revision surgery, especially when patients have been on previous long-term suppressive antibiotic therapy.CASE PRESENTATION: An 81-year-old British man with a previous history of complex revision knee arthroplasty for infection presented with a hot, swollen knee joint. He had previously been on long-term suppressive antibiotic therapy. Aspiration of the knee joint yielded a culture of Lactobacillus species.CONCLUSION: In patients undergoing revision joint arthroplasty, especially for previous infection, the presence of common and uncommon bacterial species must be excluded and eradicated before further surgical intervention.",

author = "Navraj Atwal and Akintunde George and Ben Squires and Marsh, {Clayton H}",

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TY - JOUR

T1 - Lactobacillus as a rare cause of an infected total knee replacement

T2 - a case report

AU - Atwal, Navraj

AU - George, Akintunde

AU - Squires, Ben

AU - Marsh, Clayton H

PY - 2009/7/31

Y1 - 2009/7/31

N2 - INTRODUCTION: We report a rare case of an infected revision total knee replacement as a result of a Lactobacillus species infection. Lactobacillus infections have been associated with prolonged broad-spectrum antibiotic use. This can have implications in revision surgery, especially when patients have been on previous long-term suppressive antibiotic therapy.CASE PRESENTATION: An 81-year-old British man with a previous history of complex revision knee arthroplasty for infection presented with a hot, swollen knee joint. He had previously been on long-term suppressive antibiotic therapy. Aspiration of the knee joint yielded a culture of Lactobacillus species.CONCLUSION: In patients undergoing revision joint arthroplasty, especially for previous infection, the presence of common and uncommon bacterial species must be excluded and eradicated before further surgical intervention.

AB - INTRODUCTION: We report a rare case of an infected revision total knee replacement as a result of a Lactobacillus species infection. Lactobacillus infections have been associated with prolonged broad-spectrum antibiotic use. This can have implications in revision surgery, especially when patients have been on previous long-term suppressive antibiotic therapy.CASE PRESENTATION: An 81-year-old British man with a previous history of complex revision knee arthroplasty for infection presented with a hot, swollen knee joint. He had previously been on long-term suppressive antibiotic therapy. Aspiration of the knee joint yielded a culture of Lactobacillus species.CONCLUSION: In patients undergoing revision joint arthroplasty, especially for previous infection, the presence of common and uncommon bacterial species must be excluded and eradicated before further surgical intervention.

U2 - 10.4076/1752-1947-3-7441

DO - 10.4076/1752-1947-3-7441

M3 - Article

C2 - 19830207

SN - 1752-1947

VL - 3

SP - 7441

JO - CEIBS Case

JF - CEIBS Case

ER -

Lactobacillus as a rare cause of an infected total knee replacement: a case report

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