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Pasteurella multocida infection of a total knee arthroplasty after a "dog lick"
1Microbiology Department, Ambroise Paré Hospital, AP-HP, Faculté de Médecine Paris-Ile de France-Ouest, UVSQ, 9 Avenue Charles de Gaulle, 92100 Boulogne-Billancourt, France. beate.heym@apr.ap-hop-paris.fr
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.
