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Brucellosis complicating bilateral total knee arthroplasty
S Agarwal1, S K Kadhi, R J Rooney
1Department of Orthopedic Surgery, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
Clinical Orthopaedics and Related Research
|June 1, 1991
Summary
Brucella septic arthritis is a rare complication following knee replacement surgery. This case highlights a unique instance in a young woman after bilateral total knee arthroplasty.
Area of Science:
- Orthopedic Surgery
- Infectious Diseases
- Microbiology
Background:
- Infection following arthroplasty presents a significant clinical challenge.
- Prosthetic joint infections (PJIs) are associated with substantial patient morbidity.
- Early diagnosis and appropriate management are crucial for successful outcomes.
Observation:
- A 24-year-old female patient underwent bilateral total knee arthroplasty.
- Post-operatively, the patient developed septic arthritis in both knee joints.
- Brucella species were identified as the causative agent of the infection.
Findings:
- This case represents the first reported instance of Brucella septic arthritis in both knees after bilateral total knee arthroplasty.
- The patient's presentation highlights the potential for unusual pathogens in prosthetic joint infections.
- Prompt identification of Brucella is essential for targeted antimicrobial therapy.
Implications:
- This case expands the differential diagnosis for septic arthritis post-arthroplasty.
- Clinicians should consider Brucella in the evaluation of joint infections, especially in endemic areas or with relevant exposure history.
- Further research may be warranted to understand the specific risk factors and optimal treatment strategies for Brucella PJI.