Nocardiaprosthetic knee infection successfully treated by one-stage exchange: case report and review
- 6 January 2015
- journal article
- case report
- Published by Informa UK Limited in Acta Clinica Belgica
- Vol. 70 (4), 287-290
- https://doi.org/10.1179/2295333714y.0000000109
Abstract
A 64-year-old man with a history of sarcoidosis on corticosteroids and azathioprine was admitted to our hospital with complaints of worsening left knee pain and swelling for the past 3 weeks. His past medical history is also significant for severe osteoarthritis requiring a cemented total left knee arthroplasty 1 year ago. Diagnostic investigation during his hospital admission eventually led to the diagnosis of Nocardia nova knee prosthetic joint infection in the setting of a disseminated nocardiosis. He was successful treated by one-stage complete hardware exchange in conjunction with an adapted antibiotic therapy regimen (meropenem and doxycycline followed by ceftriaxone and doxycycline). Two years later, his recovery was deemed excellent.Keywords
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