Gas Forming Bacterial Infection after Total Knee Arthroplasty

Je-Gyun Chon; Byeong-Seop Park; Chi-Hoon Ahn; Jong-Won Kang

doi:10.4055/jkoa.2017.52.2.199

Journal List > J Korean Orthop Assoc > v.52(2) > 1013514

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Chon, Park, Ahn, and Kang: Gas Forming Bacterial Infection after Total Knee Arthroplasty

Case Report

Journal of the Korean Orthopaedic Association 2017; 52(2): 199-203.

Published online: 19 April 2017

DOI: https://doi.org/10.4055/jkoa.2017.52.2.199

Gas Forming Bacterial Infection after Total Knee Arthroplasty

Je-Gyun Chon, M.D., Byeong-Seop Park, M.D., Chi-Hoon Ahn, M.D., Jong-Won Kang, M.D.

Department of Orthopaedic Surgery, Daejeon Sun Hospital, Daejeon, Korea.

Correspondence to: Jong-Won Kang, M.D. Department of Orthopaedic Surgery, Daejeon Sun Hospital, 29 Mokjung-ro, Jung-gu, Daejeon 34811, Korea. TEL: +82-42-220-8860, FAX: +82-42-220-8464, cervicalspine.kang@gmail.com

Received 22 July 2016 Revised 4 October 2016 Accepted 5 October 2016

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Postoperative gas-forming bacterial infection is very rare. However, it can be a life threatening problem if not properly addressed. Authors treated a patient who was infected with gas forming Escherichia coli after both knee arthroplasty with incision and drainage, as well as arthroscopic synovectomy and antibiotics. Herein, we report a case of postoperative gas-forming bacterial infection with literature review.

Keywords: knee arthroplasty, gas forming bacterial infection, Escherichia coli

Figures and Tables

Figure 1

An X-ray shows radiolucent cavity (arrows) in both lower legs.

Figure 2

Duplex sonogram shows intramuscular or intermuscular space airfoaming abscess around the knee joints. LT, left.

Figure 3

(A) Computed tomography (CT) scan shows diffuse wall thickening with intramural air bubbles (arrows) in the bladder, (B) CT scan shows intermuscular abscess (arrows) in both legs—thigh to lower leg.

Figure 4

(A, B) There was inflammation around the femur implant. (C) Arthroscopic synovectomy was performed to debride inflamed tissue.

Figure 5

(A) Postoperative X-ray shows disappeared radiolucent cavity. (B) Computed tomography (CT) scan shows disappeared intramural air bubbles (arrow). (C) CT scan shows disappeared intermuscular abscess in both legs—thigh to lower leg.

Notes

^{CONFLICTS OF INTEREST} The authors have nothing to disclose.

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