<i>Enterobacter cloacae</i> Periprosthetic Joint Infection After Bariatric Surgical Anastomotic Leak.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 32159065.
- Also identified by DOI 10.5435/JAAOSGlobal-D-19-00095 and PMC identifier 7028785.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Four weeks after a bilateral total knee arthroplasty (TKA), an immunocompetent, 61-year-old, Caucasian man presented with a periprosthetic joint infection (PJI) of the left knee by <i>Enterobacter cloacae</i> (an enteric bacteria). The most likely source of his infection was due to an anastomotic leak after a bariatric surgery done 6 months before TKA. There is a growing focus on stratifying the risk of PJI after TKA. Hematogenous seeding of enteric bacteria leading to PJI is an unexplored risk that will become more prevalent as bariatric procedures before TKA continue to increase in frequency. We present a patient who demonstrates this PJI risk with a rare microbe (<i>E cloacae</i>).
Medical subject headings
- Anastomotic Leak
- Arthroplasty, Replacement, Knee
- Bariatric Surgery
- Enterobacter cloacae
- Enterobacteriaceae Infections
- Obesity, Morbid
- Osteoarthritis, Knee
- Prosthesis-Related Infections
Anatomy
- knee