Development of a periprosthetic joint infection by years after total knee arthroplasty.

A 74-year-old male presented with acute right knee pain and inability to ambulate. The patient had a total knee arthroplasty, previously complicated by a periprosthetic femur fracture requiring surgical fixation and subsequent methicillin-resistant periprosthetic joint infection treated via two-stage revision. Cultures from knee fluid aspiration were positive for . Identification was confirmed using matrix-assisted laser desorption ionization-time of flight mass spectrometry. The patient underwent a two-stage revision. Between stages, the patient received intravenous ceftriaxone for six weeks with subsequent normalization of inflammatory markers. Diagnosis of periprosthetic joint infection with identification of the organism is important to guide appropriate treatment.