Perioperative infection prophylaxis is a fundamental element of total knee arthroplasty (TKA). There has been a recent trend toward the use of extended postoperative oral antibiotics in high-risk patients. We describe a case report of a patient who underwent a primary TKA and subsequently developed  colitis after an extended course of postoperative prophylactic oral cefadroxil. Following the  infection, the patient eventually developed bacteremia and a multidrug-resistant  prosthetic joint infection which required multiple debridements. Extended use of postoperative prophylactic oral cefadroxil may increase the risk of -associated diarrhea. Additionally, our case suggests that  infection may subsequently increase the risk of bacteremia which could lead to prosthetic joint infection. More evidence is required to further define this risk.

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http://dx.doi.org/10.1016/j.artd.2022.08.016DOI Listing

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