Delayed Diagnosis of Mycobacteriumbovisbacillus Calmette-Guerin Periprosthetic Joint Infection Following Total Knee Arthroplasty.

ABSTRACT: Periprosthetic joint infection (PJI) can present challenges in diagnosis and treatment, particularly in the setting of atypical causative organisms such as fungi and mycobacteria. Herein, we present a case and provide a review of the diagnosis and treatment of an unusual PJI caused by bacillus Calmette-Guérin, administered during the treatment of bladder cancer 3 years prior to total knee arthroplasty and subsequent PJI. Although the patient's history of bladder cancer was known, neither his Bacillus Calmette-Guérin treatment nor its potential for distant site spread that could lead to PJI were appreciated, leading to a prolonged diagnostic evaluation and treatment course.

SUBMITTER: Pelt CE 

PROVIDER: S-EPMC10963199 | biostudies-literature | 2024 Jun

REPOSITORIES: biostudies-literature