Cargando…
An Insight Into Lyme Prosthetic Joint Infection in Knee Arthroplasty: A Literature Review
Lyme prosthetic joint infection (PJI) is a rare event, but it is imperative to include Lyme disease as a possible cause of PJI in a Lyme-endemic region. The purpose of this article was to review the reported cases of Lyme PJIs in knee arthroplasty and to initiate the development of a treatment strat...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8812602/ https://www.ncbi.nlm.nih.gov/pubmed/35133991 http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00191 |
_version_ | 1784644689502142464 |
---|---|
author | Ali, Muzaffar Kamson, Anthony O. Phillips, David S. King, Scott G. |
author_facet | Ali, Muzaffar Kamson, Anthony O. Phillips, David S. King, Scott G. |
author_sort | Ali, Muzaffar |
collection | PubMed |
description | Lyme prosthetic joint infection (PJI) is a rare event, but it is imperative to include Lyme disease as a possible cause of PJI in a Lyme-endemic region. The purpose of this article was to review the reported cases of Lyme PJIs in knee arthroplasty and to initiate the development of a treatment strategy. We found five cases of Lyme PJI in the literature. All patients lived in the northeastern region of the United States. Four patients were successfully treated with surgical intervention and postoperative antibiotics. One patient was successfully treated with intravenous and oral antibiotics for 6 weeks, without surgical intervention. Synovial fluid Lyme polymerase chain reaction and serological tests were positive in all patients. On follow-up visits, after completion of their treatment, all patients were asymptomatic with a painless functional knee. We recommend considering Lyme disease as a cause of culture-negative PJIs in endemic regions. Additional research is needed to clearly define a treatment algorithm. Based on our literature review, we cannot recommend a single best treatment modality for the treatment of Lyme PJI. However, early irrigation and débridement with administration of postoperative antibiotics may improve early clinical outcomes. |
format | Online Article Text |
id | pubmed-8812602 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer |
record_format | MEDLINE/PubMed |
spelling | pubmed-88126022022-02-18 An Insight Into Lyme Prosthetic Joint Infection in Knee Arthroplasty: A Literature Review Ali, Muzaffar Kamson, Anthony O. Phillips, David S. King, Scott G. J Am Acad Orthop Surg Glob Res Rev Review Article Lyme prosthetic joint infection (PJI) is a rare event, but it is imperative to include Lyme disease as a possible cause of PJI in a Lyme-endemic region. The purpose of this article was to review the reported cases of Lyme PJIs in knee arthroplasty and to initiate the development of a treatment strategy. We found five cases of Lyme PJI in the literature. All patients lived in the northeastern region of the United States. Four patients were successfully treated with surgical intervention and postoperative antibiotics. One patient was successfully treated with intravenous and oral antibiotics for 6 weeks, without surgical intervention. Synovial fluid Lyme polymerase chain reaction and serological tests were positive in all patients. On follow-up visits, after completion of their treatment, all patients were asymptomatic with a painless functional knee. We recommend considering Lyme disease as a cause of culture-negative PJIs in endemic regions. Additional research is needed to clearly define a treatment algorithm. Based on our literature review, we cannot recommend a single best treatment modality for the treatment of Lyme PJI. However, early irrigation and débridement with administration of postoperative antibiotics may improve early clinical outcomes. Wolters Kluwer 2022-02-02 /pmc/articles/PMC8812602/ /pubmed/35133991 http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00191 Text en Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Ali, Muzaffar Kamson, Anthony O. Phillips, David S. King, Scott G. An Insight Into Lyme Prosthetic Joint Infection in Knee Arthroplasty: A Literature Review |
title | An Insight Into Lyme Prosthetic Joint Infection in Knee Arthroplasty: A Literature Review |
title_full | An Insight Into Lyme Prosthetic Joint Infection in Knee Arthroplasty: A Literature Review |
title_fullStr | An Insight Into Lyme Prosthetic Joint Infection in Knee Arthroplasty: A Literature Review |
title_full_unstemmed | An Insight Into Lyme Prosthetic Joint Infection in Knee Arthroplasty: A Literature Review |
title_short | An Insight Into Lyme Prosthetic Joint Infection in Knee Arthroplasty: A Literature Review |
title_sort | insight into lyme prosthetic joint infection in knee arthroplasty: a literature review |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8812602/ https://www.ncbi.nlm.nih.gov/pubmed/35133991 http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00191 |
work_keys_str_mv | AT alimuzaffar aninsightintolymeprostheticjointinfectioninkneearthroplastyaliteraturereview AT kamsonanthonyo aninsightintolymeprostheticjointinfectioninkneearthroplastyaliteraturereview AT phillipsdavids aninsightintolymeprostheticjointinfectioninkneearthroplastyaliteraturereview AT kingscottg aninsightintolymeprostheticjointinfectioninkneearthroplastyaliteraturereview AT alimuzaffar insightintolymeprostheticjointinfectioninkneearthroplastyaliteraturereview AT kamsonanthonyo insightintolymeprostheticjointinfectioninkneearthroplastyaliteraturereview AT phillipsdavids insightintolymeprostheticjointinfectioninkneearthroplastyaliteraturereview AT kingscottg insightintolymeprostheticjointinfectioninkneearthroplastyaliteraturereview |