Pseudoaneurisma poplíteo como complicación de la artroplastia total de rodilla. Revisión y actualización bibliográfica a propósito de un caso / Popliteal pseudoaneurysm as a complication in total knee replacement. Presentation of a case and an updated literature review

Las complicaciones vasculares después de cirugía protésica de rodilla son poco frecuentes. Dentro de este grupo, el pseudoaneurisma de la arteria poplítea es todavía más raro, habiéndose reportado en la literatura unos pocos casos. Presentamos el caso de una mujer de 80 años con el diagnóstico de gonartrosis izquierda por genu varo que fue intervenida de prótesis total de rodilla y que en el postoperatorio tardío previo al alta, presentó un pseudoaneurisma de la arteria poplítea que fue tratado satisfactoriamente mediante un stent intravascular por abordaje inguinal (AU)

Vascular complications are rare after total knee arthroplasty, and popliteal pseudoaneurysms are even more so. There are few cases reported in the literature. We present a case of an 80 year-old woman with osteoarthritis of the left knee, secondary to Genu varum, who was treated with total knee arthroplasty. On the discharge day after surgery, the patient suffered a popliteal pseudoaneurysm that was successfully treated with an intravascular stent introduced by an inguinal approach (AU)

[Popliteal pseudoaneurysm as a complication in total knee replacement. Presentation of a case and an updated literature review]. / Pseudoaneurisma poplíteo como complicación de la artroplastia total de rodilla. Revisión y actualización bibliográfica a propósito de un caso.

Vascular complications are rare after total knee arthroplasty, and popliteal pseudoaneurysms are even more so. There are few cases reported in the literature. We present a case of an 80 year-old woman with osteoarthritis of the left knee, secondary to Genu varum, who was treated with total knee arthroplasty. On the discharge day after surgery, the patient suffered a popliteal pseudoaneurysm that was successfully treated with an intravascular stent introduced by an inguinal approach.

[Bacteriology and resistance in ambulatory urinary infections]. / Bacteriología y resistencias en las infecciones urinarias ambulatorias.

OBJECTIVES: To discover the bacteriological profile of urinary tract infections (UTI) in our out-clinic environment and their resistance to the most common antibiotics. DESIGN: A descriptive, retrospective study. SETTING: Ciudad Real Health Area (300,000 inhabitants). PARTICIPANTS: All the urine samples from the out-clinics referred to the microbiology lab for possible UTI in 1994 were included. MEASUREMENTS AND MAIN RESULTS: 3,522 cultures were studied, of which 241 were contaminated (7%), 2,870 negative (81%) and 409 positive (12%). Breakdown of bacteria: E. coli (248; 60%), enterococci (38; 9%), P. mirabilis (25; 6%), K. pneumoniae (20; 5%), S. epidermidis (11;3%), S. saprophyticus (8; 2%) and 61 others (15%). We found high sensitivity in the Gram-negatives to cephuroxim and amoxicillin-clavulanic. We observed widespread resistance, especially by E. coli, to quinolones, pipemidic acid and nitrofurantoin. CONCLUSIONS: E. coli is the micro-organism which most often causes UTI in our environment. We found enterococci were isolated more and S. saprophyticus less than in the series consulted. We found a considerable increase in resistance to some antibiotics often used in out-clinics for UTI treatment.