Erysipelothrix rhusiopathiae infection of a total knee arthroplasty an occupational hazard.
A 76-year-old man with a medical history of rheumatoid arthritis, lupus intersititial nephritis, and steroid therapy was found at first-stage revision total knee arthroplasty to have Erysipelothrix rhusiopathiae (a zoonotic pathogen normally associated with pigs and fish) infection of the arthroplasty. He had a history of potential occupational exposure to the organism. On literature review, we found only 3 other case reports of E rhusiopathiae linked to septic arthritis in humans. This unique case of an infected joint arthroplasty further illustrates the pathogenicity of E rhusiopathiae in humans.
Derriford Hospital, Plymouth, PL8 6HR.
Emily A
EA
Traer
Mark R
MR
Williams
Jon N
JN
Keenan
D000305:Adrenal Cortex Hormones / Q000009:adverse effects / Q000627:therapeutic use; D000368:Aged; D000818:Animals; D001170:Arthritis, Infectious / Q000382:microbiology* / Q000601:surgery; D001172:Arthritis, Rheumatoid / Q000188:drug therapy; D019645:Arthroplasty, Replacement, Knee; D004888:Erysipelothrix / Q000472:pathogenicity*; D004889:Erysipelothrix Infections / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D007720:Knee Prosthesis; D008181:Lupus Nephritis / Q000188:drug therapy; D008297:Male; D009784:Occupational Diseases / Q000382:microbiology* / Q000601:surgery; D009894:Opportunistic Infections / Q000382:microbiology / Q000601:surgery; D020370:Osteoarthritis, Knee / Q000601:surgery; D016459:Prosthesis-Related Infections / Q000382:microbiology* / Q000601:surgery; D012086:Reoperation; D013633:Tanning; D014774:Virulence
D000305:Adrenal Cortex Hormones