title: Deep infection of a total knee implant as a complication of disseminated pneumococcal sepsis. A case report and review of literature.
abstract: Pneumoccal infection of a total knee replacement is rare. We present a case of hematogeous pneumoccocal infection of a revision total knee arthroplasty as a complication of disseminated pneumoccocal sepsis. The patient was successfully treated with two stage reimplantation in addition to 8 weeks of intravenous moxifloxacin and penicillin, and remains infection free and functions well over 3 years postoperatively.
authors.affiliation: Department of Orthopaedic Surgery, Asian Hospital and Medical Center, 2205 Civic Dr Filinvest Corp, City, Muntinlupa City, 1781, Philippines. rangeloochoa@stanfordmedalumni.org
authors.forename: Rolando Angelo T
authors.initials: RA
authors.lastname: Ochoa
authors.forename: Christopher S
authors.initials: CS
authors.lastname: Mow
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use; D019645:Arthroplasty, Replacement, Knee; D001372:Aza Compounds / Q000627:therapeutic use; D024841:Fluoroquinolones; D006801:Humans; D007720:Knee Prosthesis / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D000077266:Moxifloxacin; D010406:Penicillins / Q000627:therapeutic use; D011008:Pneumococcal Infections / Q000150:complications* / Q000188:drug therapy; D016459:Prosthesis-Related Infections / Q000188:drug therapy / Q000382:microbiology*; D011804:Quinolines / Q000627:therapeutic use; D012086:Reoperation; D018805:Sepsis / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*
chemical_list: D000890:Anti-Infective Agents; D001372:Aza Compounds; D024841:Fluoroquinolones; D010406:Penicillins; D011804:Quinolines; D000077266:Moxifloxacin