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Prosthetic hip infection due to Salmonella enterica serovar Enteritidis

Prosthetic joint infection (PJI) is a serious complication of prosthetic joint implantation with a prevalence of about 1–2 % of all prosthetic joint surgeries. While Staphylococcus spp. are the most common organisms isolated, Salmonella spp. are a rare cause of PJI (estimated prevalence < 0.3 %)....

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Detalles Bibliográficos
Autores principales: Casado-Castillo, Fernando, Kobayashi, Takaaki, Sekar, Poorani, Streit, Judy, Molano De Pena, Ilonka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8167264/
https://www.ncbi.nlm.nih.gov/pubmed/34094868
http://dx.doi.org/10.1016/j.idcr.2021.e01170
Descripción
Sumario:Prosthetic joint infection (PJI) is a serious complication of prosthetic joint implantation with a prevalence of about 1–2 % of all prosthetic joint surgeries. While Staphylococcus spp. are the most common organisms isolated, Salmonella spp. are a rare cause of PJI (estimated prevalence < 0.3 %). We present a case of a 62-year-old patient with a history of previous joint trauma complicated by osteonecrosis, infection and chronic alcohol abuse with late hematogenous prosthetic hip infection due to Salmonella enterica serovar Enteritidis. PJI due to Salmonella spp. should be considered in the differential diagnosis when a patient has risk factors such as malignancy, hemoglobinopathies, diabetes mellitus, human immunodeficiency virus/acquired immunodeficiency syndrome, alcohol dependency or immunosuppressed state, even without significant preceding gastrointestinal symptoms. Our patient had a few of these risk factors and required surgical debridement in addition to antimicrobials for treatment of his PJI.