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The Journal of Bone and Joint Surgery (American) 85:2434-2436 (2003)
© 2003 The Journal of Bone and Joint Surgery, Inc.

Periprosthetic Knee Joint Infection Following Colonoscopy

A Case Report

Lisa K. Cornelius, MD1, Robert N. Reddix, Jr., MD1 and John L. Carpenter, MD1

1 Division of Infectious Diseases, Department of Internal Medicine (L.K.C. and J.L.C.), and Department of Orthopedic Surgery (R.N.R.), Scott and White Memorial Hospital and Clinics, 2401 South 31st Street, Temple, TX 76508. E-mail address for L.K. Cornelius: lcornelius@swmail.sw.org

Investigation performed at Scott and White Memorial Hospital and Clinics, Temple, Texas

The first 150 words of the full text of this article appear below.


   Introduction
 
Transient bacteremia has occurred in association with procedures such as periodontal manipulation, barium enema, and upper gastrointestinal endoscopy1-3.

The risk of septic arthritis associated with procedure-related bacteremia in patients with prosthetic joints and the effectiveness of prophylactic antibiotics for the prevention of infectious complications in such patients are unclear. Despite the isolation of bacteria in the perioperative period, late periprosthetic joint infections have only rarely been linked to nondental procedures4. It is known that prosthetic joints are more susceptible to hematogenous infection in the early postoperative period4.

We present the case of a patient in whom a periprosthetic joint infection was caused by hematogenous dissemination of Listeria monocytogenes in association with colonoscopy. To our knowledge, our patient did not receive prophylactic antibiotics prior to the colonoscopy. We also review the literature on bacteremia associated with gastrointestinal endoscopy and address the use of prophylactic antibiotics in patients with . . . [Full Text of this Article]


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