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Pasteurella multocida infection of a total knee arthroplasty after a “dog lick”

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

The patient we report here underwent a total knee arthroplasty (TKA) which got infected with P. multocida after her dog had licked a small wound at the third toe of the same foot. Despite a correct treatment comprising synovectomy and cleansing, and an active antibiotic treatment for 3 months, the patient was readmitted for persistent infection of the same knee 2 weeks after the end of the antibiotic treatment. Sampling during surgery allowed for the growth of a P. multocida isolate proven by a molecular method to be identical to the previously isolated strain. This recurrent P. multocida infection was treated by a two-step change of the TKA comprising a 2-month period of antibiotic treatment between the two surgical interventions.

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Authors and Affiliations

  1. Microbiology Department, Ambroise Paré Hospital, AP-HP, Faculté de Médecine Paris-Ile de France-Ouest, UVSQ, 9 Avenue Charles de Gaulle, 92100, Boulogne-Billancourt, France

    B. Heym, M. Lemoal & M.H. Nicolas-Chanoine

  2. Orthopaedics Surgery Department, Ambroise Paré Hospital, AP-HP, Faculté de Médecine Paris-Ile de France-Ouest, UVSQ, 9 Avenue Charles de Gaulle, 92100, Boulogne-Billancourt, France

    F. Jouve, A. Veil-Picard & A. Lortat-Jacob

Authors
  1. B. Heym
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  2. F. Jouve
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  3. M. Lemoal
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  4. A. Veil-Picard
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  5. A. Lortat-Jacob
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  6. M.H. Nicolas-Chanoine
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Correspondence to B. Heym.

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Heym, B., Jouve, F., Lemoal, M. et al. Pasteurella multocida infection of a total knee arthroplasty after a “dog lick”. Knee Surg Sports Traumatol Arthrosc 14, 993–997 (2006). https://doi.org/10.1007/s00167-005-0022-5

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  • DOI: https://doi.org/10.1007/s00167-005-0022-5

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