Acupuncture needle-associated prosthetic knee infection after total knee arthroplasty

Mod Rheumatol. 2010 Dec;20(6):627-31. doi: 10.1007/s10165-010-0331-5. Epub 2010 Jul 9.

Abstract

The case of a patient who previously had permanent acupuncture needles placed in the knee joint and had been doing well, with no evidence of infection, but who eventually underwent a revision total knee arthroplasty due to acupuncture needle-associated prosthetic infection is presented. The microorganism responsible for the infection was Enterococcus faecalis, a bacterium which rarely causes infection following arthroplasty. This case should be highlighted to increase the awareness of healthcare providers to acupuncture-associated subclinical infection that may be exacerbated by surgical manipulation.

Publication types

  • Case Reports

MeSH terms

  • Acupuncture Therapy / adverse effects*
  • Ampicillin / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Arthroplasty, Replacement, Knee*
  • Drug Therapy, Combination
  • Enterococcus faecalis / isolation & purification
  • Female
  • Gram-Positive Bacterial Infections / drug therapy
  • Gram-Positive Bacterial Infections / microbiology
  • Gram-Positive Bacterial Infections / pathology
  • Humans
  • Knee Joint / microbiology
  • Knee Joint / pathology
  • Knee Joint / surgery
  • Knee Prosthesis / microbiology*
  • Meropenem
  • Middle Aged
  • Prosthesis-Related Infections / etiology*
  • Prosthesis-Related Infections / pathology
  • Reoperation
  • Sulbactam / therapeutic use
  • Thienamycins / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Thienamycins
  • Ampicillin
  • Meropenem
  • Sulbactam