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Article in English | MEDLINE | ID: mdl-30296310

ABSTRACT

A 61-year-old woman with a periprosthetic knee joint infection caused by Mycobacterium abscessus was successfully treated with surgical débridement, multidrug antimicrobial therapy, and staged reimplantation. To the authors' knowledge, this represents the first report of successfully treating this organism after knee arthroplasty. M. abscessus knee infections are rare, and there are no specific guidelines to inform treatment or successful treatment regimens for periprosthetic knee infections. Medical management alone was not successful in this case and hence cannot be recommended. Using a collaborative multidisciplinary approach, including surgical débridement, staged reimplantation, and multidrug antimicrobials, successful eradication of the periprosthetic joint infection caused by M. abscessus was achieved.


Subject(s)
Anti-Bacterial Agents/therapeutic use , Debridement , Knee Joint/surgery , Knee Prosthesis/adverse effects , Mycobacterium Infections, Nontuberculous/surgery , Mycobacterium abscessus/isolation & purification , Prosthesis-Related Infections/surgery , Arthroplasty, Replacement, Knee/adverse effects , Female , Humans , Knee Joint/microbiology , Middle Aged , Mycobacterium Infections, Nontuberculous/drug therapy , Mycobacterium Infections, Nontuberculous/microbiology , Prosthesis-Related Infections/drug therapy , Prosthesis-Related Infections/microbiology , Reoperation , Treatment Outcome
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