Yersinia enterocolitica Infection of a Prosthetic Knee Joint. Case Report and Review of the Literature on Deep Sited Infections Caused by Y. enterocolitica

Päivi  Jalava-Karvinen; Jarmo  Oksi; Kaisu  Rantakokko-Jalava; Petri  Virolainen; Pirkko  Kotilainen

doi:10.4236/aid.2013.32015

Päivi Jalava-Karvinen^*, Jarmo Oksi, Kaisu Rantakokko-Jalava, Petri Virolainen, Pirkko Kotilainen

Abstract: Prosthetic joint infection is a rare manifestation of Yersinia enterocolitica. We report a case of a patient presenting with fever and a purulent infection in his prosthetic knee joint caused by Y. enterocolitica. He had been operated in 1990 for arthrosis of the right knee. Re-operation was performed in 2007 for loosening of the prosthesis. Seven months later, following progressively increasing knee pain, he became acutely febrile and a purulent knee joint infection was diagnosed. Y. enterocolitica was isolated from the joint fluid. Serum antibodies against Y. enterocolitica were also positive. He was treated with debridement, replacement of the liner component of the prosthesis and a long course of intravenous antimicrobial therapy. The infection was thought to be in a chronic suppressive state. The final outcome after all therapy was good.

Keywords: Debridement Operation; Prosthetic Knee Joint; Purulent Infection; Yersinia enterocolitica

Cite this paper: P. Jalava-Karvinen, J. Oksi, K. Rantakokko-Jalava, P. Virolainen and P. Kotilainen, "Yersinia enterocolitica Infection of a Prosthetic Knee Joint. Case Report and Review of the Literature on Deep Sited Infections Caused by Y. enterocolitica," Advances in Infectious Diseases, Vol. 3 No. 2, 2013, pp. 95-99. doi: 10.4236/aid.2013.32015.

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