Figure 1351400s

Figure Legend: Infection of implants may arise late due to hematogenous seeding from distant infection. This patient with diabetes and rheumatoid arthritis on immunosuppressive therapy developed a plantar abscess following an unrecognized injury (left).  She presented with infection of a long-standing functioning index metacarpophalangeal silastic joint spacer (middle).  Organisms cultured from the site (right) were the same as those present in the foot. Implant infection is more likely when there is a permanent space where motion occurs adjacent to the implant, as is the case with silicone rubber joint replacements.
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