Total diz artroplasti ameliyatı sonrası gelişen Nocardia farcinica enfeksiyonu

Year 2013, Volume: 47 Issue: 3, 212 - 217, 11.06.2013

Firat Ozan Semmi Koyuncu Cansin Kizilay Onur Ozgenc

Abstract

Enfeksiyon, total diz protezi uygulamalarında önemli bir komplikasyondur ve ciddi bir morbiditeye sahiptir. Bu yazıda, çimentolu total diz protezi uygulamasından sonra ortaya çıkan Nocardia farcinica enfeksiyonu olgumuzu sunuyoruz. Yetmiş sekiz yaşındaki erkek hasta, sol gonartroz nedeniyle total diz artroplastisi ameliyatı sonrası birinci ayda başlayan dizde hareket kısıtlılığı, ağrı ve şişlik yakınmaları ile polikliniğimize başvurdu. Artroskopik debridman, sinevektomi ve antibiyotik tedavisinin ardından iyileşme sağlanamayınca, hastanın total diz protez komponentleri çıkarıldı. Tedavisinde yirminci ayını dolduran hastanın dizinde henüz iyileşme sağlanamamıştır ve olgunun izlemi devam etmektedir.

Keywords

Artroplasti; diz; enfeksiyon; Nocardia.

The Nocardia farcinica infection developing after total knee arthroplasty surgery

Abstract

Infection is an important complication in total knee prosthesis implementations and possesses a serious morbidity. We present a case of Nocardia farcinica infection which appeared after application of cemented total knee prosthesis. A 78-year-old male patient had referred to the outpatient clinic with the complaints of restricted movement, pain and swelling of the knee which started after a month following total knee arthroplasty surgery due to left gonarthrosis. As no improvement could be achieved after arthroscopic debridement, synovectomy and antibiotherapy, the components of the total knee prosthesis were removed from him. Although improvement could not be achieved in the knee of the patient at the end of 20-month therapy, the case has still being followed-up.

Keywords

Arthroplasty, infection, knee, Nocardia

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