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Modern Rheumatology
Published in: Modern Rheumatology 6/2010

01-12-2010 | Case Report

Acupuncture needle-associated prosthetic knee infection after total knee arthroplasty

Authors: Arata Nakajima, Ryutaku Kaneyama, Hitoshi Watanabe, Masazumi Murakami, Koichi Nakagawa, Yasuchika Aoki, Masashi Yamazaki, Teruo Furufu, Toru Suguro

Published in: Modern Rheumatology | Issue 6/2010

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Abstract

The case of a patient who previously had permanent acupuncture needles placed in the knee joint and had been doing well, with no evidence of infection, but who eventually underwent a revision total knee arthroplasty due to acupuncture needle-associated prosthetic infection is presented. The microorganism responsible for the infection was Enterococcus faecalis, a bacterium which rarely causes infection following arthroplasty. This case should be highlighted to increase the awareness of healthcare providers to acupuncture-associated subclinical infection that may be exacerbated by surgical manipulation.
Literature
1.
Bengtson S, Knutson K. The infected knee arthroplasty. A 6-year follow-up of 357 cases. Acta Orthop Scan. 1991;62:301–11.CrossRef
2.
Grogan TJ, Dorey F, Rollins J, Amstutz HC. Deep sepsis following knee arthroplasty. Ten-year experience at the University of California at Los Angeles Medical Center. J Bone Joint Surg Am. 1986;68:226–34.PubMed
3.
Poss R, Thornhill TS, Ewald FC, Thomas WH, Batte NJ, Sledge CB. Factors influencing the incidence and outcome of infection following total joint arthroplasty. Clin Orthop. 1984;182:117–26.PubMed
4.
Rand JA, Bryan RS, Morrey BF, Westholm F. Management of infected total knee arthroplasty. Clin Orthop. 1986;205:75–85.PubMed
5.
Salvati EA, Robinson RP, Zeno SM, Koslin BL, Brause BD, Wilson PD. Infection rates after 3157 total hip and total knee replacements performed with and without a horizontal unidirectional filtered air-flow system. J Bone Joint Surg Am. 1982;64:525–35.PubMed
6.
Berbari EF, Hanssen AD, Duffy MC, Steckelberg JM, Ilstrup DM, Harmsen WS, et al. Risk factors for prosthetic joint infection: case–control study. Clin Infect Dis. 1998;27:1247–54.PubMedCrossRef
7.
Berbari EF, Marculescu C, Sia I, Lahr BD, Hanssen AD, Steckelberg JM, et al. Culture-negative prosthetic joint infection. Clin Infect Dis. 2007;45:1113–9.PubMedCrossRef
8.
Segawa H, Tsukayama DT, Kyle RF, Becker DA, Gustilo RB. Infection after total knee arthroplasty. J Bone Joint Surg Am. 1999;81:1434–45.PubMed
9.
Kent GP, Brondum J, Keenlyside RA, LaFazia LM, Scott HD. A large outbreak of acupuncture-associated hepatitis B. Am J Epidemiol. 1988;127:591–8.PubMed
10.
Vittecoq D, Mettetal JF, Rouzioux C, Bach JF, Bouchon JP. Acute HIV infection after acupuncture treatments. N Engl J Med. 1989;320:250–1.PubMed
11.
Kirschenbaum AE, Rizzo C. Glenohumeral pyarthrosis following acupuncture treatment. Orthopedics. 1997;20:1184–6.PubMed
12.
Ishibe M, Inoue M, Saitou K. Septic arthritis of a lumbar facet joint due to pyonex. Arch Orthop Trauma Surg. 2001;121:90–2.PubMedCrossRef
13.
Laing AJ, Mullett H, Gilmore MF. Acupuncture-associated arthritis in a joint with an orthopaedic implant. J Infect. 2002;44:43–4.PubMedCrossRef
14.
Ha KY, Kim YH. Chronic inflammatory granuloma mimics clinical manifestations of lumbar spinal stenosis after acupuncture: a case report. Spine. 2003;28:E217–20.PubMedCrossRef
15.
Ching CK, Fraser SL, Wortmann GW. A case of Enterococcus faecalis prosthetic joint infection: a rare and difficult infection to treat. Hawaii Med J. 2006;65:264–5.PubMed
16.
Dabasia H, Kokkinakis M, El-Guindi M. Haematogenous infection of a resurfacing hip replacement after transurethral resection of the prostate. J Bone Joint Surg Br. 2009;91:820–1.PubMedCrossRef
17.
Zimmerli W. Infection and musculoskeletal conditions: prosthetic-joint-associated infections. Best Pract Res Clin Rheumatol. 2006;20:1045–63.PubMedCrossRef
18.
Ince A, Rupp J, Frommelt L, Katzer A, Gille J, Löhr JF. Is “aseptic” loosening of the prosthetic cup after total hip replacement due to nonculturable bacterial pathogens in patients with low-grade infection? Clin Infect Dis. 2004;39:1599–603.PubMedCrossRef
19.
Nilsdotter-Augustinsson A, Briheim G, Herder A, Ljunghusen O, Wahlström O, Ohman L. Inflammatory response in 85 patients with loosened hip prostheses: a prospective study comparing inflammatory markers in patients with aseptic and septic prosthetic loosening. Acta Orthop. 2007;78:629–39.PubMedCrossRef
20.
Nalepka JL, Lee MJ, Kraay MJ, Marcus RE, Goldberg VM, Chen X, et al. Lipopolysaccharide found in aseptic loosening of patients with inflammatory arthritis. Clin Orthop Relat Res. 2006;451:229–35.PubMedCrossRef
Metadata
Title
Acupuncture needle-associated prosthetic knee infection after total knee arthroplasty
Authors
Arata Nakajima
Ryutaku Kaneyama
Hitoshi Watanabe
Masazumi Murakami
Koichi Nakagawa
Yasuchika Aoki
Masashi Yamazaki
Teruo Furufu
Toru Suguro
Publication date
01-12-2010
Publisher
Springer Japan
Published in
Modern Rheumatology / Issue 6/2010
Print ISSN: 1439-7595
Electronic ISSN: 1439-7609
DOI
https://doi.org/10.1007/s10165-010-0331-5

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