Diagnosis of Streptococcus canis periprosthetic joint infection: the utility of next-generation sequencing

Autor: Majd Tarabichi, MD, Abtin Alvand, MD, PhD, FRCS (Tr&Orth), Noam Shohat, MD, Karan Goswami, MD, Javad Parvizi, MD, FRCS
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Arthroplasty Today, Vol 4, Iss 1, Pp 20-23 (2018)
Druh dokumentu: article
ISSN: 2352-3441
DOI: 10.1016/j.artd.2017.08.005
Popis: A 62-year-old man who had undergone a primary knee arthroplasty 3 years earlier, presented to the emergency department with an infected prosthesis. He underwent prosthesis resection. All cultures failed to identify the infecting organism. Analysis of the intraoperative samples by next-generation sequencing revealed Streptococcus canis (an organism that resides in the oral cavity of dogs). It was later discovered that the patient had sustained a dog scratch injury several days earlier. The patient reports that his dog had licked the scratch. Treatment was delivered based on the sensitivity of S. canis, and the patient has since undergone reimplantation arthroplasty. Keywords: Periprosthetic joint infection, Hip arthroplasty, Knee arthroplasty, Culture negative, Next-generation sequencing
Databáze: Directory of Open Access Journals