Abstract
Late hematogenous infection of previously asymptomatic orthopedic implants is extremely
rare and usually associated with total joint replacements, such as those of the hip
or knee. We present the case of an otherwise healthy female who developed a deep space
infection 18 months after a first metatarsophalangeal joint implant arthroplasty.
The patient presented with pain and swelling at the site, and over the course of several
days developed fever and tachycardia and leukocytosis. Cultures of the surrounding
soft tissues and the implant grew Streptococcus pneumoniae. The patient reported a 1- to 2-week history of symptoms consistent with an upper
respiratory tract infection and it is believed that this distant focus of infection
was the probable source of late hematogenous seeding of the first metatarsophalangeal
joint implant.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: June 30, 2010
Footnotes
Financial Disclosure: None reported
Conflicts of Interest: None reported
Identification
Copyright
© 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
