| Autor: |
Nagy MT; Department of Trauma and Orthopaedic Surgery, Macclesfield District General Hospital, Macclesfield, UK. dr.nagy@gmx.net, Hla SM, Keys GW |
| Jazyk: |
angličtina |
| Zdroj: |
BMJ case reports [BMJ Case Rep] 2013 Jun 05; Vol. 2013. Date of Electronic Publication: 2013 Jun 05. |
| DOI: |
10.1136/bcr-2013-008709 |
| Abstrakt: |
Streptococcus bovis is rare cause of late infections after total knee replacement (TKR). This report presents a case of confirmed late septic arthritis following TKR caused by S bovis that was further complicated with infective endocarditis resulting in aortic valve insufficiency in an immunecompetent patient. As an association between S bovis and gastrointestinal malignancies is suggested, a workup for such malignancies was performed that revealed non-malignant ulcers in patient's ascending colon. The patient is currently recovering from his aortic valve replacement surgery and is scheduled to have annual colonoscopies. His knee joint has improved; however, he developed constant pain because of underlying chronic infection in the affected joint and has difficulties mobilising. Therefore, a revision TKR is considered but postponed until he fully recovers from his heart valve surgery. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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