Yang Theodore, Shweta Fnu, Greatens Marcus, Webb Jonathan
Medical College of Wisconsin - Central Wisconsin Campus, Wausau, Wisconsin, USA.
Infectious Diseases, Mayo Clinic Health System in Eau Claire, Eau Claire, Wisconsin, USA.
BMJ Case Rep. 2025 Jan 8;18(1):e261837. doi: 10.1136/bcr-2024-261837.
Periprosthetic joint infection (PJI) is a devastating complication of total joint surgery. Surgical management of PJI has increased surgical risks and is costly to the healthcare system. This case study presents a unique clinical scenario involving a patient who was diagnosed with Lyme PJI at the total knee arthroplasty site after undergoing surgical management. Lyme PJI is a rare condition, and there is limited guidance on the diagnosis and management of this condition. It should be considered in the differential of certain individuals with appropriate epidemiological risk factors. This report aims to highlight the complexities associated with the diagnosis and management of periprosthetic Lyme infections.
人工关节周围感染（PJI）是全关节置换手术的一种严重并发症。PJI的外科治疗增加了手术风险，且对医疗系统来说成本高昂。本病例研究呈现了一个独特的临床案例，涉及一名患者，该患者在接受手术治疗后，全膝关节置换部位被诊断为莱姆病性PJI。莱姆病性PJI是一种罕见疾病，关于该疾病的诊断和治疗的指导有限。对于具有适当流行病学风险因素的特定个体，在鉴别诊断时应考虑到该病。本报告旨在强调与人工关节周围莱姆病感染的诊断和治疗相关的复杂性。
