title: Acupuncture needle-associated prosthetic knee infection after total knee arthroplasty.
abstract: The case of a patient who previously had permanent acupuncture needles placed in the knee joint and had been doing well, with no evidence of infection, but who eventually underwent a revision total knee arthroplasty due to acupuncture needle-associated prosthetic infection is presented. The microorganism responsible for the infection was Enterococcus faecalis, a bacterium which rarely causes infection following arthroplasty. This case should be highlighted to increase the awareness of healthcare providers to acupuncture-associated subclinical infection that may be exacerbated by surgical manipulation.
authors.affiliation: Department of Orthopaedic Surgery, Toho University Sakura Medical Center, 564-1 Shimoshizu, Sakura, Chiba, 285-8741, Japan. a-nakaji@sf7.so-net.ne.jp
authors.forename: Arata
authors.initials: A
authors.lastname: Nakajima
authors.forename: Ryutaku
authors.initials: R
authors.lastname: Kaneyama
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Watanabe
authors.forename: Masazumi
authors.initials: M
authors.lastname: Murakami
authors.forename: Koichi
authors.initials: K
authors.lastname: Nakagawa
authors.forename: Yasuchika
authors.initials: Y
authors.lastname: Aoki
authors.forename: Masashi
authors.initials: M
authors.lastname: Yamazaki
authors.forename: Teruo
authors.initials: T
authors.lastname: Furufu
authors.forename: Toru
authors.initials: T
authors.lastname: Suguro
mesh_terms: D015670:Acupuncture Therapy / Q000009:adverse effects*; D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019645:Arthroplasty, Replacement, Knee; D004359:Drug Therapy, Combination; D013293:Enterococcus faecalis / Q000302:isolation & purification; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D006801:Humans; D007719:Knee Joint / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D007720:Knee Prosthesis / Q000382:microbiology*; D000077731:Meropenem; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000209:etiology* / Q000473:pathology; D012086:Reoperation; D013407:Sulbactam / Q000627:therapeutic use; D013845:Thienamycins / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D013845:Thienamycins; D000667:Ampicillin; D000077731:Meropenem; D013407:Sulbactam