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Journal of Medical Microbiology logo Journal of Medical Microbiology

Volume 71, Issue 9

A recurrent prosthetic joint infection caused by : case report and literature review No Access

Abstract

Prosthetic knee joint infection caused by is uncommon and only one case of recurrent infection has previously been described. Here, we describe the case of a 77-year-old male patient who was admitted to the teaching hospital of Rennes (France) with bilateral and nocturnal gonalgia evolving for 1 month. He had bilateral knee prosthesis 10 years ago, and a history of large B-cell lymphoma in remission. A diagnosis of infective endocarditis, with prosthetic knee infection, was made, with positive cultures of synovial fluids and blood; colonies of were identified by MALDI-TOF MS. Initial treatment involved debridement, implant retention surgery and intravenous amoxicillin (12 g day) for 6 weeks with gentamicin 3 mg kg day added for the first 4 days. One year later, a second episode of infection occurred, suggesting a recurrence or reinfection due to the same bacterial species. The patient was finally cured after a two-stage exchange with a cemented articulated spacer and a 3 month course of amoxicillin (12 g day, ). Different characteristics of infection were discussed, with a review of all cases of prosthetic joint infections caused by species. This case highlights the need for a long-term survey of patients, and a good knowledge of their environment to avoid any risk of reinfection.

  • Received:
  • Accepted:
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Keyword(s): endocarditis , Erysipelothrix husiopathiae , infection , knee and prosthetic
© 2022 The Authors
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/content/journal/jmm/10.1099/jmm.0.001580
2022-09-08
2025-04-24
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/content/journal/jmm/10.1099/jmm.0.001580
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A recurrent prosthetic joint infection caused by Erysipelothrix rhusiopathiae: case report and literature review
J. Med. Microbiol. 71, 001580 (2022); https://doi.org/10.1099/jmm.0.001580
/content/journal/jmm/10.1099/jmm.0.001580
/content/journal/jmm/10.1099/jmm.0.001580
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