title: Pasteurella multocida: a nightmare for a replaced joint and the challenge to save it.
abstract: Pasteurella multocida a small gram-negative coccobacilli is primarily found as normal flora of cats and dogs. These organisms can cause a variety of infections in humans, usually the result of scratches, bites and licks by percutaneous inoculation of the organism. Most cases of septic arthritis involve a cat or dog bite distal to the involved joint without direct penetrating injury to the joint. On scenarios were Pasteurella infection is suspected within a prosthetic joint, aggressive surgical debridement and/or removal of the prosthesis with intravenous antibiotics is recommended. Prosthetic joint infections secondary to animal bites are an extremely rare complication and few cases have been reported in the literature. This is a case report of a patient that suffered a cat's bite of his right prosthetic knee and against all odd was able to save it without surgical intervention.
authors.forename: Felipe A
authors.initials: FA
authors.lastname: Vélez
authors.forename: Iván Enrique
authors.initials: IE
authors.lastname: Laboy Ortíz
authors.forename: Reynaldo
authors.initials: R
authors.lastname: López
authors.forename: Alfredo
authors.initials: A
authors.lastname: Sánchez
authors.forename: Miguel
authors.initials: M
authors.lastname: Colón
authors.forename: José
authors.initials: J
authors.lastname: Hernán Martínez
mesh_terms: D000368:Aged; D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D000667:Ampicillin / Q000627:therapeutic use; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D019645:Arthroplasty, Replacement, Knee; D001733:Bites and Stings / Q000150:complications / Q000382:microbiology; D002415:Cats / Q000382:microbiology; D003131:Combined Modality Therapy; D003646:Debridement; D006801:Humans; D008297:Male; D009055:Mouth / Q000382:microbiology; D020370:Osteoarthritis, Knee / Q000601:surgery; D010326:Pasteurella Infections / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D016979:Pasteurella multocida / Q000302:isolation & purification*; D011183:Postoperative Complications / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D016459:Prosthesis-Related Infections / Q000175:diagnosis; D013407:Sulbactam / Q000627:therapeutic use; D013530:Surgical Wound Infection / Q000175:diagnosis; D014946:Wound Infection / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents; D019980:Amoxicillin-Potassium Clavulanate Combination; D000667:Ampicillin; D013407:Sulbactam