Successful treatment of late Salmonella infections in total hip replacement - report of two cases

BMC Infectious Diseases

Case Report

Gyula Kovács¹  Gábor Janositz¹  Ervin Rudner²  Krisztián Sisák³  Kálmán Tóth³ 

[1] Department of Orthopaedics, County Hospital of Kecskemét, 39 Nyíri Road, 6000, Kecskemét, Hungary;Department of Orthopaedics, County Hospital of Szolnok, 21 Tószegi Street, 5004, Szolnok, Hungary;Department of Orthopaedics, University of Szeged, 6 Semmelweis Street, 6720, Szeged, Hungary;

关键词: Septic Arthritis;    Periprosthetic Joint Infection;    Single Stage Revision;    Antibiotic Loaden Bone Cement;    Acinetobacter Haemolyticus;   

DOI  :  10.1186/1471-2334-10-160

 received in 2009-12-07, accepted in 2010-06-08,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundSalmonella species can be rarely isolated from periprosthetic joint infections, however when present, are usually part of a severe septic clinical picture.Case presentationsTwo patients presented with late infected hip replacements to our institution. The first patient with multiple comorbidities had a confirmed Salmonella Enteridis infection with an abscess in the groin, with loosening of both components. He underwent a successful one stage cemented revision hip replacement, followed by 6 weeks of antibiotic therapy (ciprofloxacin). He had no recurrence or complications. The second patient was admitted in a septic condition with ARDS to the Intensive Care Unit 7 years following an uncemented total hip replacement. From an ultrasound guided hip aspirate Salmonella cholerae-suis was isolated. He underwent a successful a two-stage revision hip replacement.ConclusionsSuccessful treatment of such potentially life threatening infections is achievable using modern orthopaedic techniques and close collaboration with the infectious diseases specialists.

【 授权许可】

CC BY   
© Tóth et al; licensee BioMed Central Ltd. 2010