Author:
Flury Domenica,Behrend Henrik,Sendi Parham,Kietzell Matthias von,Strahm Carol
Abstract
Abstract. Periprosthetic joint infection (PJI) due to Brucella spp. is rare. We report a case in a 75-year-old man and review 29 additional cases identified in a literature search. The diagnosis of Brucella PJI is challenging, in particular in non-endemic countries. Serological tests prior to joint aspiration or surgical intervention are reasonable. Involvement of infection control and timely information to laboratory personnel is mandatory upon diagnosis. There is no uniform treatment concept, neither with respect to surgical intervention nor for the duration of antimicrobials. Most cases have a successful outcome, irrespective of surgical modality, and with an antimicrobial combination regimen for 12 or more weeks.
Subject
Infectious Diseases,Orthopedics and Sports Medicine,Surgery
Reference37 articles.
1. Agarwal S, Kadhi SK, Rooney RJ. Brucellosis complicating bilateral total knee arthroplasty. Clin Orthop Relat Res; 1991. pp. 179–81.
2. Atay T, Baydar ML, Heybeli N. [Brucellar Prosthetic Infection After Total Knee Arthroplasty: A Case With Retained Prosthesis by Arthroscopic and Medical Treatment] Trakya Univ Tip Fak Derg. 2008;25:252–255. [Google Scholar]
3. Cairo M, Calbo E, Gomez L, Matamala A, Asuncion J, Cuchi E. et al. Foreign-body osteoarticular infection by Brucella melitensis: A report of three cases. J Bone Joint Surg Am. 2006;88:202–4.
4. Carothers JT, Nichols MC, Thompson DL. Failure of total hip arthroplasty secondary to infection caused by Brucella abortus and the risk of transmission to operative staff. Am J Orthop (Belle Mead NJ) 2015;44:E42–5.
5. Dauty M, Dubois C, Coisy M. Bilateral knee arthroplasty infection due to Brucella melitensis: a rare pathology? Joint Bone Spine. 2009;76:215–6.
Cited by
9 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献