Yersinia enterocolitica Infection of a Prosthetic Knee Joint.Case Report and Review of the Literature on Deep Sited Infections Caused by Y.enterocolitica  

作　　者：Paivi Jalava-Karvinen Jarmo Oksi Kaisu Rantakokko-Jalava Petri Virolainen Pirkko Kotilainen 

机构地区：[1]Department of Infectious Diseases,Division of Medicine,Turku University Hospital,Turku,Finland [2]Faculty of Medicine,Turku University,Turku,Finland [3]Clinical Microbiology Laboratory,Turku,Finland [4]Department of Orthopedics and Traumatology,Turku University Hospital,Turku,Finland

出　　处：《Advances in Infectious Diseases》2013年第2期95-99,共5页传染病进展（英文）

基　　金：supported by the Turku University Hospital and the Anne and Rauno Puolimatka Foundation.

摘　　要：Prosthetic joint infection is a rare manifestation of Yersinia enterocolitica. We report a case of a patient presenting with fever and a purulent infection in his prosthetic knee joint caused by Y. enterocolitica. He had been operated in 1990 for arthrosis of the right knee. Re-operation was performed in 2007 for loosening of the prosthesis. Seven months later, following progressively increasing knee pain, he became acutely febrile and a purulent knee joint infection was diagnosed. Y. enterocolitica was isolated from the joint fluid. Serum antibodies against Y. enterocolitica were also positive. He was treated with debridement, replacement of the liner component of the prosthesis and a long course of intravenous antimicrobial therapy. The infection was thought to be in a chronic suppressive state. The final outcome after all therapy was good.Prosthetic joint infection is a rare manifestation of Yersinia enterocolitica. We report a case of a patient presenting with fever and a purulent infection in his prosthetic knee joint caused by Y. enterocolitica. He had been operated in 1990 for arthrosis of the right knee. Re-operation was performed in 2007 for loosening of the prosthesis. Seven months later, following progressively increasing knee pain, he became acutely febrile and a purulent knee joint infection was diagnosed. Y. enterocolitica was isolated from the joint fluid. Serum antibodies against Y. enterocolitica were also positive. He was treated with debridement, replacement of the liner component of the prosthesis and a long course of intravenous antimicrobial therapy. The infection was thought to be in a chronic suppressive state. The final outcome after all therapy was good.

关 键 词：Debridement Operation Prosthetic Knee Joint Purulent Infection Yersinia enterocolitica 

分 类 号：R5[医药卫生—内科学]