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Case Reports
. 2018 Jan 19;4(2):158-161.
doi: 10.1016/j.artd.2017.12.003. eCollection 2018 Jun.

Lyme periprosthetic joint infection in total knee arthroplasty

Murillo Adrados  1 , Daniel Howard Wiznia  1 , Marjorie Golden  2 , Richard Pelker  1
Affiliations
Case Reports

Lyme periprosthetic joint infection in total knee arthroplasty

Murillo Adrados et al. Arthroplast Today. .

Abstract

Lyme arthritis, caused by the spirochete Borrelia burgdorferi sensu stricto, is a common tick-borne illness in New England and the upper Midwest. Most often, the disease affects the knee and has typically been reported as a cause of native joint infection. There has been only 1 case of Lyme periprosthetic joint infection (associated with a total knee arthroplasty) reported in the literature, and to our knowledge, no other reported cases of Lyme periprosthetic joint infections exist. In this article, we report on 2 patients diagnosed with prosthetic joint infections who were subsequently found to have Lyme prosthetic joint infections, with B burgdorferi as the infectious organism. We discuss the medical and surgical management of these patients.

Keywords: Lyme arthritis; PJI; Prosthetic joint injection; TKA; Total knee arthroplasty.

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References

    1. Wright W.F., Oliverio J.A. First case of lyme arthritis involving a prosthetic knee joint. Open Forum Infect Dis. 2016;3(2):ofw096. - PMC - PubMed
    1. Osmon D.R., Berbari E.F., Berendt A.R. Diagnosis and management of prosthetic joint infection: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis. 2013;56(1):e1. - PubMed
    1. Dinneen A., Guyot A., Clements J., Bradley N. Synovial fluid white cell and differential count in the diagnosis or exclusion of prosthetic joint infection. Bone Joint J. 2013;95-B(4):554. - PubMed
    1. Della Valle C., Parvizi J., Bauer T.W. Diagnosis of periprosthetic joint infections of the hip and knee. J Am Acad Orthop Surg. 2010;18(12):760. - PubMed
    1. Parvizi J., Zmistowski B., Berbari E.F. New definition for periprosthetic joint infection: from the workgroup of the musculoskeletal infection society. Clin Orthop Relat Res. 2011;469(11):2992. - PMC - PubMed

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