Haemophilus influenza infection complicating a total knee arthroplasty.
Haemophilus influenza is rarely a cause of septic arthritis in adults. It has not been reported as a cause of infection in total knee arthroplasties. Haemophilus influenza septic arthritis is a late stage, hematogenous infection. A 43-year-old woman with a history of rheumatoid arthritis was found to have Haemophilus influenza infection 3 years after the index total knee arthroplasty. The patient was treated with debridement and systemic antibiotics. At the 5-year followup, the patient was comfortable and free of clinical signs of infection. This approach was successful at eradicating infection and salvaging the total knee arthroplasty.
Bezwada
Hari P
HP
Department of Orthopaedics, Pennsylvania Hospital, PA 19107, USA.
Nazarian
David G
DG
Booth
Robert E
RE
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000890:Anti-Infective Agents / Q000627:therapeutic use; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D002939:Ciprofloxacin / Q000008:administration & dosage; D003646:Debridement; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D005839:Gentamicins / Q000008:administration & dosage; D006192:Haemophilus Infections / Q000150:complications* / Q000628:therapy; D006193:Haemophilus influenzae / Q000302:isolation & purification*; D006801:Humans; D016459:Prosthesis-Related Infections / Q000382:microbiology* / Q000628:therapy; D016879:Salvage Therapy
D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents; D005839:Gentamicins; D002939:Ciprofloxacin