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KMID : 0361620220570020150
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Journal of the Korean Orthopaedic Association
2022 Volume.57 No. 2 p.150 ~ p.154
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Motor Weakness of Contralateral Upper and Lower Limbs in a Patient with Septic Arthritis of the Knee Combined with Infective Endocarditis: Embolic Infarction Due to Infective Endocarditis
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Cha Jae-Ryong
Park Ki-Bong
Jang Seong-Min
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Abstract
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An 82-year-old man visited with fever and severe pain in the right knee. Septic arthritis was confirmed by magnetic resonance imaging (MRI) and joint fluid analysis, and the patient underwent arthroscopic synovectomy and received empirical antibiotic therapy. One day later, motor weakness of contralateral upper and lower limbs developed. Brain MRI confirmed embolic infarction and transthoracic echocardiography confirmed mitral valve infective endocarditis. This paper reports a case of motor weakness after arthroscopic synovectomy for septic arthritis of the knee and provides a review of relevant literature regarding infective endocarditis.
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KEYWORD
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knee, infectious arthritis, motor weakness, embolic infarction, endocarditis
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