Six-stage revision surgery of a triple periprosthetic joint infection due to a delayed diagnosis of a bilateral psoas abscess: a case report.

Abstract

CASE:

We present a case of a 70-year-old woman with simultaneous periprosthetic joint infection (PJI) of both hips and left knee due to a bilateral psoas abscess. The patient underwent debridement and implants removal with the consequent reimplantation in a sequential six-stage revision surgery. At four years of follow-up and in spite of the patient's comorbidities and current PJI presentation, she maintains full activities of daily living without restrictions.

CONCLUSION:

Accurate and early diagnosis of a psoas abscess is crucial. This case report provides experience of a complex scenario, the decision-making involved and the outcomes of an underdiagnosed complication.

• Authors: C Lucero, F Díaz-Dilernia, F Comba, G Zanotti, F Piccaluga, M Buttaro
• Journal: Annals of the Royal College of Surgeons of England (Ann R Coll Surg Engl) Vol. 103 Issue 9 Pg. e305-e310 (Oct 2021) ISSN: 1478-7083 [Electronic] England
• PMID: 34414782 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Arthroplasty, Replacement, Hip (adverse effects)
• Arthroplasty, Replacement, Knee (adverse effects)
• Delayed Diagnosis
• Female
• Humans
• Prosthesis-Related Infections (etiology, surgery)
• Psoas Abscess (complications, diagnosis)
• Reoperation (methods)
• Staphylococcal Infections (complications, diagnosis)
• Staphylococcus aureus