Yersinia enterocolitica Infection of a Prosthetic Knee *** Report and Review of the Literature on Deep Sited Infections Caused by ***

作     者：Paivi Jalava-Karvinen Jarmo Oksi Kaisu Rantakokko-Jalava Petri Virolainen Pirkko Kotilainen 

作者机构：Department of Infectious DiseasesDivision of MedicineTurku University HospitalTurkuFinland Faculty of MedicineTurku UniversityTurkuFinland Clinical Microbiology LaboratoryTurkuFinland Department of Orthopedics and TraumatologyTurku University HospitalTurkuFinland 

出 版 物：《Advances in Infectious Diseases》 (传染病进展（英文）)

年 卷 期：2013年第3卷第2期

页      面：95-99页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：supported by the Turku University Hospital and the Anne and Rauno Puolimatka Foundation 

主　　题：Debridement Operation Prosthetic Knee Joint Purulent Infection Yersinia enterocolitica 

摘      要：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.