Fungal Periprosthetic Knee Joint Infection in a Patient with Metamizole-Induced Agranulocytosis.

Agranulocytosis Candida infection Fungal infection Periprosthetic infection Revision arthroplasty Total knee arthroplasty

Journal

Arthroplasty today
ISSN: 2352-3441
Titre abrégé: Arthroplast Today
Pays: United States
ID NLM: 101681808

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 24 06 2020
revised: 17 07 2020
accepted: 25 07 2020
entrez: 14 9 2020
pubmed: 15 9 2020
medline: 15 9 2020
Statut: epublish

Résumé

We present the case of a 55-year-old female patient with metamizole-induced agranulocytosis after total knee arthroplasty, leading to septic periprosthetic joint infections (PJIs). Owing to metamizole-induced agranulocytosis, the synovial leukocyte count was negative. Here, we discuss the diagnostic challenges evolving from sepsis and neutropenia in patients with suspected PJIs. We suggest an urgent surgical approach, mainly focusing on the clinical presentation preoperatively. Later, our patient developed candidemia and periprosthetic tissue samples were positive for

Identifiants

pubmed: 32923558
doi: 10.1016/j.artd.2020.07.040
pii: S2352-3441(20)30159-X
pmc: PMC7475080
doi:

Types de publication

Case Reports

Langues

eng

Pagination

726-730

Commentaires et corrections

Type : ErratumIn

Informations de copyright

© 2020 The Authors.

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Auteurs

Sebastian Oenning (S)

Department of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, North Rhine-Westphalia, Germany.

Burkhard Moellenbeck (B)

Department of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, North Rhine-Westphalia, Germany.

Georg Gosheger (G)

Department of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, North Rhine-Westphalia, Germany.

Tom Schmidt-Bräkling (T)

Department of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, North Rhine-Westphalia, Germany.

Jan Schwarze (J)

Department of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, North Rhine-Westphalia, Germany.

Thomas Ackmann (T)

Department of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, North Rhine-Westphalia, Germany.

Kristian Nikolaus Schneider (KN)

Department of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, North Rhine-Westphalia, Germany.

Christoph Theil (C)

Department of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, North Rhine-Westphalia, Germany.

Classifications MeSH