Report of a Moraxella catarrhalis prosthetic joint infection in an immunocompetent woman and review of the literature of haematogenous infection due to throat flora bacteria

A. Minoza; D. Boutoille; G.G. Aubin; P. Hauet; O. Grossi; S. Touchais; P. Bémer; S. Corvec

doi:10.1099/jmmcr.0.000053

Report of a Moraxella catarrhalis prosthetic joint infection in an immunocompetent woman and review of the literature of haematogenous infection due to throat flora bacteria

A. Minoza¹, D. Boutoille^2,3,†, G.G. Aubin^1,3,†, P. Hauet⁴, O. Grossi^2,†, S. Touchais^4,†, P. Bémer^1,† and S. Corvec^1,3,†
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¹ Service de Bactériologie-Hygiène hospitalière, CHU de Nantes, Institut de Biologie, 9 quai Moncousu, 44093 Nantes Cedex, France ² Service des Maladies Infectieuses et Tropicales, CHU de Nantes, 1 place Ricordeau, 44093 Nantes Cedex, France ³ Université de Nantes, EA3826 Thérapeutiques Cliniques et Expérimentales des Infections, Faculté de Médecine, F-44000, Nantes, France ⁴ Clinique Chirurgicale Orthopédique et Traumatologique, CHU de Nantes, 1 place Ricordeau, 44093 Nantes Cedex, France
Correspondence S. Corvec [email protected]

† Nantes study group members of the Centre de Reference des Infections Osteo-articulaires du Grand Ouest (CRIOGO).
Published: 01 August 2015 https://doi.org/10.1099/jmmcr.0.000053

Abstract

Introduction:

Moraxella catarrhalis is an exclusively human commensal and mucosal pathogen. For years, this bacterium has been known to cause upper and lower respiratory tract infections, the latter of which most often occur in patients with chronic obstructive pulmonary disease. However, M. catarrhalis has also been described in various unusual localizations.

Case presentation:

We describe the first case of a knee prosthetic infection due to M. catarrhalis. A 75-year-old immunocompetent woman developed a knee infection 5 months after a total knee arthroplasty. The origin of the infection was probably due to a bronchitis episode with haematogenous spread leading to an acute prosthetic infection.

Conclusion:

M. catarrhalis should be included in the list of potential pathogens from the throat flora such as Streptococcus pneumoniae and Haemophilus influenzae. A review of the literature revealed the same clinical presentation, surgical strategy and outcome.

Received: 05/03/2015
Accepted: 10/04/2015
Published Online: 01/08/2015

Keyword(s): bone , bronchitis , infection , joint , Moraxella catarrhalis and prosthesis

This is an Open Access article published by the Microbiology Society under the Creative Commons Attribution License

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Report of a Moraxella catarrhalis prosthetic joint infection in an immunocompetent woman and review of the literature of haematogenous infection due to throat flora bacteria

JMM Case Rep 2, e000053 (2015); https://doi.org/10.1099/jmmcr.0.000053

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Report of a Moraxella catarrhalis prosthetic joint infection in an immunocompetent woman and review of the literature of haematogenous infection due to throat flora bacteria

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