J Korean Orthop Assoc.  2014 Oct;49(5):385-388. 10.4055/jkoa.2014.49.5.385.

Achromobacter xylosoxidans Infection Following Total Knee Arthroplasty

• Lee SC
• Nam CH
• Park IS
• Yoon JY
• Jung KA
• Hwang SH

• KMID: 2185175
• DOI: http://doi.org/10.4055/jkoa.2014.49.5.385

Abstract

Achromobacter xylosoxidans is an opportunistic organism, mainly causing infection in immune compromised hosts, such as patients on dialysis. However, review of the medical literature showed that few cases of A. xylosoxidans infections following total knee arthroplasty have been reported. This organism has not been reported in prosthetic joint infections of patients who are not immune compromised. Here, a case of periprosthetic infection with A. xylosoxidans following total knee arthroplasty in a man with no medical history of immune suppression is reported.

Keyword

total knee arthroplasty; deep infection; Achromobacter xylosoxidans

MeSH Terms

Achromobacter denitrificans*
Arthroplasty*
Dialysis
Humans
Joints
Knee*

Figure

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  Figure 1 Radiograph of the right knee shows loosening of the tibial and femoral components before removal of the prosthesis. (A) The anterior-posterior view illustrates lucency (arrow) around the medial aspect of the tibial component. (B) The lateral view also shows a radiolucent area (arrow) surrounding the femoral and tibial components.

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