Revision after knee arthroplasty due to Mycoplasma hominis infection: A case report and literature review
2024

Knee Surgery for Mycoplasma Infection

Sample size: 1 publication Evidence: low

Author Information

Author(s): Kang Liu, Zhi Yang, Weipeng Xie, Sicheng Wang, Shouye Hu

Primary Institution: Hong Hui Hospital, Xi' an Jiaotong University

Hypothesis

Can metagenomic sequencing effectively diagnose Mycoplasma hominis infections in patients with knee arthroplasty?

Conclusion

The patient showed significant improvement after revision surgery and targeted antibiotic therapy for Mycoplasma hominis infection.

Supporting Evidence

  • Metagenomic sequencing identified Mycoplasma hominis in joint fluid samples.
  • The patient had persistent symptoms despite initial antibiotic treatment.
  • Postoperative follow-up showed no signs of infection recurrence.

Takeaway

A man had knee surgery because of a rare germ that made his knees hurt, but after doctors figured it out and treated him, he felt much better.

Methodology

The patient underwent 1-stage revision surgery and was treated with a combination of antibiotics based on metagenomic sequencing results.

Limitations

The study is based on a single case, and mNGS has high costs and limited accessibility.

Participant Demographics

68-year-old male with a history of type 2 diabetes and hypoalbuminemia.

Digital Object Identifier (DOI)

10.1097/MD.0000000000041174

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