Bilateral Knee Periprosthetic Infection with Mycobacterium fortuitum

  • Porat M
  • Austin M
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Abstract

Periprosthetic infections after total joint arthroplasty are infrequent but potentially devastating complications. Gram-positive bacteria is the typical causative organism. However, uncommon sources such as Mycobacterium fortuitum have been documented in the literature. We report a case, the first to our knowledge, of bilateral infections involving this organism after total knee arthroplasty. M. fortuitum is notoriously resistant to many standard antibacterial medications, and a delay in initial diagnosis due to inadequate incubation time has been reported. In poor surgical candidates, long-term antibiotic suppression may be a viable alternative. © 2008 Elsevier Inc. All rights reserved.

Author-supplied keywords

  • Mycobacterium fortuitum
  • aged
  • amikacin
  • anamnesis
  • antibiotic agent
  • antibiotic resistance
  • arthrocentesis
  • article
  • case report
  • cefoxitin
  • ciprofloxacin
  • clarithromycin
  • clinical feature
  • follow up
  • hospital discharge
  • hospital readmission
  • human
  • linezolid
  • male
  • meropenem
  • postoperative infection
  • reimplantation
  • total knee arthroplasty

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Authors

  • M D Porat

  • M S Austin

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