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Rheumatology 2000; 39: 179-181
© 2000 British Society for Rheumatology

Spinal osteomyelitis in patients with rheumatoid arthritis following total knee arthroplasty—two case reports

C. O. Nnene1 and P. Hickling

Departments of Orthopaedics and Rheumatology, Mount Gould Hospital Plymouth, Plymouth, UK


   Introduction
 
Spinal osteomyelitis is a relatively common problem in areas where tuberculosis is endemic. Other, non-tuberculous causes are rare but carry significant morbidity and mortality. It is a rare complication of peripheral joint sepsis.

We present two cases of spinal osteomyelitis occurring in patients with rheumatoid arthritis who developed sepsis in their total knee replacements more than a year after surgery. Both patients' spinal abscesses were successfully treated with intravenous antibiotic therapy, but one patient required a revision knee arthroplasty 18 months after presentation.


   Case 1
 
A 75-yr-old lady underwent bilateral non-synchronous total knee replacements in 1994. Her rheumatoid arthritis had been well controlled on non-steroidal anti-inflammatory agents, but in November 1995 she had a polyarticular relapse of her disease and . . . [Full Text of this Article]


   Case 2
 

   Discussion
 

   Note added in proof
 

   Notes
 

   References
 

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