Clostridium perfringens infection in a total knee arthroplasty. A case report.
A 66-year-old woman with a painful total knee arthroplasty and turbid fluid aspirates had her prosthesis removed for a presumed diagnosis of infection. The intraoperative cultures were positive for Clostridium perfringens, and the patient did well after a course of intravenous antibiotics prior to reimplantation. Clostridium perfringens is a rare cause of pyarthrosis in both nonoperative and prosthetic joints. This report details the first case of clostridial infection involving a patient with a total knee arthroplasty.
Stern
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Hospital for Special Surgery, New York, NY 10021.
Sculco
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TP
D000368:Aged; D003015:Clostridium Infections / Q000209:etiology*; D003016:Clostridium perfringens / Q000302:isolation & purification; D005260:Female; D006801:Humans; D007720:Knee Prosthesis; D012086:Reoperation; D013530:Surgical Wound Infection / Q000209:etiology*