Borrelia burgdorferi causes prosthetic joint an infection

Borrelia burgdorferi causes prosthetic joint an infection

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Of their case report “Borrelia burgdorferi—A Bacterium Worthy of Consideration in Tradition-Damaging Prosthetic Joint An infection,” Crowe and colleagues describe a affected person who developed a prosthetic joint an infection because of Borrelia burgdorferi. [1]

 

The 68-year-old woman presented to the orthopedic clinic with ache and swelling in her proper knee, which had been ongoing for two weeks. Eight years earlier, she had a complete knee alternative however lived ache free following the surgical procedure.

One month previous to her knee ache, the affected person had been handled with steroids for ache in her proper hip.

Within the previous 4 months, she had additionally visited her major care physician complaining of fatigue. However she didn’t recall any tick bites or a rash.

Based on the authors, the girl had elevated serum inflammatory markers and culture-negative aspirate with a excessive proportion of neutrophils.

“The affected person underwent a typical prosthesis explant process, adopted by the position of an articulating antibiotic spacer.”

She was handled empirically with a 6-week course of IV vancomycin and ceftriaxone.

Nonetheless, “Given her residence in a rural setting and frequent walks together with her canines in wooded settings,” Lyme disease testing was carried out.

Check outcomes have been optimistic for Lyme by IgG and IgM, and he or she started remedy with IV doxycycline.

“One week after the first-stage explant, B. burgdorferi was decided to be the causative  microorganism.”

The second stage of her knee surgical procedure was carried out and after 1 12 months, the girl had no indicators or signs of an infection.

Authors conclude

  • B. burgdorferi as a trigger for tradition unfavourable [prosthetic joint infections] must be a consideration for these sufferers in endemic areas, with or with out recognized tick publicity.”

 

References:
  1. Crowe M, Giacobazzi M, Griffin E, Storm S. Borrelia burgdorferi-A Bacterium Worthy of Consideration in Tradition-Damaging Prosthetic Joint An infection. J Am Acad Orthop Surg Glob Res Rev. 2023 Sep 14;7(9):e23.00068. doi: 10.5435/JAAOSGlobal-D-23-00068. PMID: 37707984; PMCID: PMC10503676.



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