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Abstract
A 64-year-old man with a history of sarcoidosis on corticosteroids and azathioprine was admitted to our hospital with complaints of worsening left knee pain and swelling for the past 3 weeks. His past medical history is also significant for severe osteoarthritis requiring a cemented total left knee arthroplasty 1 year ago. Diagnostic investigation during his hospital admission eventually led to the diagnosis of Nocardia nova knee prosthetic joint infection in the setting of a disseminated nocardiosis. He was successful treated by one-stage complete hardware exchange in conjunction with an adapted antibiotic therapy regimen (meropenem and doxycycline followed by ceftriaxone and doxycycline). Two years later, his recovery was deemed excellent.
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Laurent, F., Rodriguez-Villalobos, H., Cornu, O., Vandercam, B., & Yombi, J. C. (2015). Nocardia prosthetic knee infection successfully treated by one-stage exchange: case report and review. Acta Clinica Belgica, 70(4), 287-290. https://doi.org/10.1179/2295333714Y.0000000109 (Original work published 2015)