A Case of Total Knee Replacement Infected with Clostridium perfringens


Start a topic

A 74-year-old man presented with a complaint of right knee pain for the past 6 months. He reported that the pain had worsened over several years, resulting in limitation of his activities of daily living and walking distance. He denied a history of rheumatoid arthritis. Degenerative changes were visible in radiographs in all three compartments of his right knee, with a 15° intra-articular valgus deformity. A diagnosis of osteoarthritis was made. The decision was made to perform a cemented total knee replacement (TKR). The pre-operative workup revealed a normal chest radiograph, with normal laboratory values. Urine microscopy and culture were clear. Rheumatologic screen was normal. A cemented TKR was performed. The macroscopic features of hyper-trophic or caseating necrosis were not seen in synovium. Three weeks post surgery he developed painful erythema and tenderness over the incision site, which was associated with low-grade fever and chills. His condition deteriorated and he developed an abscess over the incision site.

View as doc

By registering, using and interacting on this website www.docstop.in, you represent and warrant that you are a registered medical practitioner under the governing law of the country you reside or represent and are lawful citizens