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Acute Gout Attack Immediately After Total Knee Arthroplasty: A Case Report
Hyun-Soo Moon1,2,3, Ju-Hyung Yoo3, Sang-Hoon Park3
1Arthroscopy and Joint Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.
Case:
We report a case of acute gouty arthritis-mimicking infection that occurred immediately after right total knee arthroplasty in a 73-year-old man. Repetitive laboratory tests showed acute inflammation and did not easily distinguish acute gout from bacterial infection. Surgical treatment was undertaken for diagnostic and therapeutic purposes. A large amount of chalky whitish crystals suggestive of acute gout was found in both knees without the suspicion of bacterial infection, and thorough irrigation and debridement were performed.
Conclusions:
Although conservative treatment is generally administered for acute gouty arthritis, early surgical intervention may ensure a good clinical result in a prosthetic joint.
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