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Delayed postbacteremic prosthetic joint infection.

G Maniloff1, R Greenwald, R Laskin

  • 1Department of Medicine, Long Island Jewish Medical Center, New Hyde Park, NY 11042.

Clinical Orthopaedics and Related Research
|October 1, 1987
PubMed
Summary
This summary is machine-generated.

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Hematogenous spread can cause deep prosthetic joint infections, even after a long delay. Prompt antibiotic treatment and prophylactic antibiotics are crucial for patients with prosthetic joints experiencing bacteremia.

Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Microbiology

Background:

  • Deep prosthetic joint infection is a severe complication following joint replacement surgery.
  • Hematogenous spread from a distant infection site is a proposed mechanism for late-onset infections.

Observation:

  • Two cases illustrate prosthetic joint infections acquired through hematogenous spread.
  • Infections were caused by Clostridium perfringens and Streptococcus pneumoniae, respectively.
  • A significant asymptomatic period preceded the prosthetic joint infection in both cases.

Findings:

  • Hematogenous seeding of prosthetic joints can occur from extraarticular infections.
  • Delayed presentation of prosthetic joint infection is possible following bacteremia.
  • Transient joint pain during bacteremia may indicate early prosthetic joint infection.

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Implications:

  • Aggressive antibiotic treatment is necessary for prosthetic joint infections originating from bacteremia.
  • Prophylactic antibiotics should be considered for prosthetic joint patients undergoing procedures with bacteremia risk.
  • Early recognition of joint pain during bacteremic episodes is critical for timely diagnosis and management.