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Severe Life-Threatening Sepsis Complicating Infected Thumb Carpometacarpal Arthroplasty

Tal Kalimian1, Moti Kramer1, Michael Drexler1

  • 1Department of Orthopedic Surgery, Assuta-Ashdod University Hospital, Ashdod, Israel, and Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel.

The Journal of Hand Surgery Asian-Pacific Volume
|October 26, 2022
PubMed

Insights

Prosthetic joint infection after thumb carpometacarpal arthroplasty can lead to severe septic shock and disseminated septic emboli. This extensive, life-threatening complication following thumb surgery is a rare but critical concern.

Area of Science:

  • Orthopedic surgery
  • Infectious disease
  • Arthroplasty complications

Background:

  • Thumb carpometacarpal (CMC) total joint arthroplasty is a common procedure with increasing global prevalence.
  • Prosthetic Joint Infection (PJI) is a known complication following joint replacement surgery.

Observation:

  • A rare case of severe Prosthetic Joint Infection (PJI) is presented.
  • The infection occurred 8 months after an otherwise uneventful thumb CMC arthroplasty.

Findings:

  • The PJI progressed to severe septic shock.
  • Disseminated septic emboli were observed as a consequence of the infection.
  • This represents an extensive and life-threatening infection following thumb CMC arthroplasty, previously unreported.

Implications:

  • Highlights the potential for severe, systemic complications from PJI after thumb CMC arthroplasty.
  • Emphasizes the need for vigilance in diagnosing and managing PJI, even months after surgery.
  • Underscores the importance of early recognition and aggressive treatment to prevent life-threatening outcomes.
Keywords:
ArthroplastyPostoperative complicationProsthetic joint infectionSepsisThumb base arthrosis

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