J Korean Orthop Assoc.
2022 Apr;57(2):150-154. 10.4055/jkoa.2022.57.2.150.
Motor Weakness of Contralateral Upper and Lower Limbs in a Patient with Septic Arthritis of the Knee Combined with Infective Endocarditis: Embolic Infarction Due to Infective Endocarditis
- Affiliations
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- 1Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
- KMID: 2528431
- DOI: http://doi.org/10.4055/jkoa.2022.57.2.150
Abstract
- An 82-year-old man visited with fever and severe pain in the right knee. Septic arthritis was confirmed by magnetic resonance imaging (MRI) and joint fluid analysis, and the patient underwent arthroscopic synovectomy and received empirical antibiotic therapy. One day later, motor weakness of contralateral upper and lower limbs developed. Brain MRI confirmed embolic infarction and transthoracic echocardiography confirmed mitral valve infective endocarditis. This paper reports a case of motor weakness after arthroscopic synovectomy for septic arthritis of the knee and provides a review of relevant literature regarding infective endocarditis.
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