Periprosthetic knee infection after benign tumor excision complicated by carbapenem resistant Enterobacteriaceae: A case report

Authors

Jennifer Adams, The University of Texas Rio Grande ValleyFollow
Daniel Habenicht, The University of Texas Rio Grande ValleyFollow
Duncan C. Ramsey, The University of Texas Rio Grande ValleyFollow

Document Type

Article

Publication Date

9-1-2022

Abstract

Introduction

Periprosthetic joint infection (PJI) is a major complication after total knee arthroscopy. Enterobacter is a rare cause of PJI.

Case presentation

We present a 65 year old Caucasian man who presented with acute right knee PJI with Carbapenem-resistant Enterobacteriaceae (CRE) two months after undergoing right knee intra-articular mass removal with endoprosthetic reconstruction. The periprosthetic joint infection (PJI) was treated with revision with 1-stage static spacer and IV meropenem.

Discussion

CRE is an uncommon cause of PJI, but when it does occur, it commonly infects patients who are immunosuppressed or have specific risk factors. For an immunocompetent patient with CRE PJI, we suggest further workup for other systemic disease.

Conclusion

This case demonstrates the importance of early diagnosis and treatment of CRE joint infections and the need for a multidisciplinary approach that includes aggressive surgical intervention and tailored antimicrobial therapy.

Recommended Citation

Adams, J. P., Habenicht, D., & Ramsey, D. (2022). Periprosthetic knee infection after benign tumor excision complicated by carbapenem resistant Enterobacteriaceae: A case report. Annals of Medicine and Surgery, 81, 104292. doi.org/10.1016/j.amsu.2022.104292

Publication Title

Annals of Medicine and Surgery

DOI

10.1016/j.amsu.2022.104292

Academic Level

medical student

Mentor/PI Department

Surgery