https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994602/#__ffn_sectitle

Lyme periprosthetic joint infection in total knee arthroplasty

Murillo Adrados, MD,a,∗ Daniel Howard Wiznia, MD,a Marjorie Golden, MD,b and Richard Pelker, MD, PhDa

Abstract
Lyme arthritis, caused by the spirochete Borrelia burgdorferi sensu stricto, is a common tick-borne illness in New England and the upper Midwest. Most often, the disease affects the knee and has typically been reported as a cause of native joint infection. There has been only 1 case of Lyme periprosthetic joint infection (associated with a total knee arthroplasty) reported in the literature, and to our knowledge, no other reported cases of Lyme periprosthetic joint infections exist. In this article, we report on 2 patients diagnosed with prosthetic joint infections who were subsequently found to have Lyme prosthetic joint infections, with B burgdorferi as the infectious organism. We discuss the medical and surgical management of these patients.

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**Comment**

Trust me – there’s more out here with this particular issue in Lyme-land but the medical field is in denial, testing is horrific, and doctors are hell-bent on diagnosing patients with everything BUT Lyme and Co.

Here’s another study explaining that periprosthetic joint infection, “is one of the most devastating and costly complications following total joint arthroplasty (TJA). Diagnosis and management of PJI is challenging for surgeons. There is no “gold standard” for diagnosis of PJI, making distinction between septic and aseptic failures difficult. Additionally, some of the greatest difficulties and controversies involve choosing the optimal method to treat the infected joint.”  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3601222/.

It’s when bacteria adhere to the knee implant.  In this case, it’s the Lyme bacteria, Bb.

This, BTW, is happening in every single organ of the human body, it’s just the science hasn’t caught up to the pathogen.