University of Illinois College of Medicine (Mr. DesLaurier, Ms. Chung, Dr. Hussain, Dr. Patetta, Dr. Gonzalez), Chicago, Illinois, and the Mercy Health System (Dr. Meller), Philadelphia, Pennsylvania.
J Am Acad Orthop Surg Glob Res Rev. 2020 Jan 9;4(1). doi: 10.5435/JAAOSGlobal-D-19-00095. eCollection 2020 Jan.
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 (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 ().
一位 61 岁的免疫功能正常的白种人男性，在双侧全膝关节置换术（TKA）后 4 周，出现左侧膝关节假体周围关节感染（PJI），（一种肠道细菌）。他感染的最可能来源是在 TKA 前 6 个月进行的减肥手术后吻合口漏。人们越来越关注 TKA 后 PJI 的风险分层。肠道细菌血源性播散导致 PJI 是一种尚未被探索的风险，随着 TKA 前减肥手术的频率继续增加，这种风险将变得更加普遍。我们介绍了一位患者，他展示了这种 PJI 风险（一种罕见的微生物）。
