Hematogenous Infection of a Total Knee Arthroplasty With Klebsiella pneumoniae in Association With Occult Adenocarcinoma of the Cecum

Marc D. Chodos, Carl A. Johnson

Research output: Contribution to journalArticle

Abstract

Acute hematogenous septic arthritis caused by the genus Klebsiella is extremely rare. This case report describes a prosthetic joint infected with Klebsiella pneumoniae via acute hematogenous spread. This is the first reported case of K pneumoniae pyogenic arthritis with a coexisting occult colonic adenocarcinoma. The patient was treated successfully with open irrigation, debridement, polyethylene spacer exchange, and chronic suppressive antibiotics. The underlying colon cancer was recognized early, and the patient responded well to surgery and adjuvant chemotherapy. This case illustrates the importance of having a high index of suspicion for underlying pathologic processes when an unusual organism presents as the cause of septic arthritis.

Original languageEnglish (US)
JournalJournal of Arthroplasty
Volume24
Issue number1
DOIs
StatePublished - Jan 2009

Fingerprint

Knee Replacement Arthroplasties
Infectious Arthritis
Cecum
Klebsiella pneumoniae
Adenocarcinoma
Klebsiella
Polyethylene
Debridement
Pathologic Processes
Adjuvant Chemotherapy
Infection
Colonic Neoplasms
Arthritis
Pneumonia
Joints
Anti-Bacterial Agents

Keywords

  • arthroplasty
  • colon cancer
  • Klebsiella pneumoniae
  • knee
  • septic arthritis

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Hematogenous Infection of a Total Knee Arthroplasty With Klebsiella pneumoniae in Association With Occult Adenocarcinoma of the Cecum. / Chodos, Marc D.; Johnson, Carl A.

In: Journal of Arthroplasty, Vol. 24, No. 1, 01.2009.

Research output: Contribution to journalArticle

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