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The Journal of Bone and Joint Surgery 80:1198-99 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Probable Interspousal Transmission of Staphylococcus aureus Resulting in Joint Infection after Total Knee Arthroplasty. A Report of Two Cases*

ROBERT P. CUSICK, M.D.{dagger}, DAVID A. McQUEEN, M.D.{ddagger} and JERRY D. PETERIE, M.D.{ddagger} WICHITA, KANSAS

Investigation performed at Via Christi Regional Medical Center St. Francis Campus, Wichita


   Introduction
 
Infection after total knee arthroplasty continues to be a difficult problem with regard to prevention, diagnosis, and treatment. Infection is usually either the result of direct contamination at the time of the operation or the result of the hematogenous spread of bacteria from another site, such as the bladder, the lungs, or the gingivae3,6. We are not aware of a previously reported case in which an infection that had developed after a total joint arthroplasty in one spouse was transmitted to the site of a joint arthroplasty in the other. We present such a case of interspousal transmission. Staphylococcus aureus that had caused an infection (as evidenced by growth on culture) at the site of a total hip arthroplasty and had subsequently caused sepsis in a woman led to an infection at the site of a total knee arthroplasty in her husband.


   Case Reports
 
CASE 1. A woman, who had had . . . [Full Text of this Article]


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