Preoperative joint aspiration in the diagnosis of non-acute hip and knee prosthetic joint infections

The case report on preoperative joint aspiration in the diagnosis of non-acute hip and knee prosthetic joint infections is offered. It defines periprosthetic joint infection (PJI) as a common complication that may occur following prosthesis implantation. The diagnosis of the condition is usually eas...

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Bibliographic Details
Published in:Médecine et maladies infectieuses 2017-09, Vol.47 (5), p.364-369
Main Authors: Bicart-See, A., Lourtet, J., Delpierre, C., Livideanu, C., Pollon, T., Remi, J., Felice, M.P., Giordano, G., Bonnet, E.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Anti-Bacterial Agents - therapeutic use
Arthralgia - etiology
Arthrite
Arthritis
Arthritis, Infectious - diagnosis
Arthritis, Infectious - drug therapy
Arthritis, Infectious - microbiology
Arthritis, Infectious - surgery
Bacteremia
Biopsy, Needle
Chronic Disease
Debridement
Diagnosis
Female
Fever - etiology
Follow-Up Studies
Hip
Hip Prosthesis - adverse effects
Humans
Implantation
Infection de prothèse ostéo-articulaire
Infections
Joint aspiration
Joint diseases
Knee
Knee Prosthesis - adverse effects
Life Sciences
Male
Medical diagnosis
Medical equipment
Middle Aged
Orthopedic apparatus
Periprosthetic joint infection
Ponction articulaire
Predictive Value of Tests
Preoperative Care - methods
Prostheses
Prosthesis-Related Infections - diagnosis
Prosthesis-Related Infections - drug therapy
Prosthesis-Related Infections - microbiology
Prosthesis-Related Infections - surgery
Retrospective Studies
Sensitivity and Specificity
Surgery
Surgical outcomes
Synovial Fluid - microbiology
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Description
Summary:The case report on preoperative joint aspiration in the diagnosis of non-acute hip and knee prosthetic joint infections is offered. It defines periprosthetic joint infection (PJI) as a common complication that may occur following prosthesis implantation. The diagnosis of the condition is usually easy when the infection is acute, when related to bacteremia or when it develops days or weeks after surgery. However, it is challenging when the infection evolves for several months before being diagnosed. It mentions the importance of accurate preoperative diagnosis for an optimal surgical and medical management of the infection.
ISSN:0399-077X
1769-6690
DOI:10.1016/j.medmal.2017.04.005