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Acupuncture needle-associated prosthetic knee infection after total knee arthroplasty
Authors:Arata Nakajima  Ryutaku Kaneyama  Hitoshi Watanabe  Masazumi Murakami  Koichi Nakagawa  Yasuchika Aoki  Masashi Yamazaki  Teruo Furufu  Toru Suguro
Affiliation:(1) Department of Orthopaedic Surgery, Toho University Sakura Medical Center, 564-1 Shimoshizu, Sakura Chiba, 285-8741, Japan;(2) Department of Orthopaedic Surgery, Chiba Aoba Municipal Hospital, Chiba, Japan;(3) Funabashi Orthopaedic Hospital, Funabashi, Chiba, Japan;(4) Department of Orthopaedic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan;(5) Department of Orthopaedic Surgery, Toho University Omori Medical Center, Tokyo, Japan
Abstract:The case of a patient who previously had permanent acupuncture needles placed in the knee joint and had been doing well, with no evidence of infection, but who eventually underwent a revision total knee arthroplasty due to acupuncture needle-associated prosthetic infection is presented. The microorganism responsible for the infection was Enterococcus faecalis, a bacterium which rarely causes infection following arthroplasty. This case should be highlighted to increase the awareness of healthcare providers to acupuncture-associated subclinical infection that may be exacerbated by surgical manipulation.
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