One-stage revision in two cases of Salmonella prosthetic hip infection

We describe two cases of prosthetic joint infection (PJI) of the hip due to Salmonella. The first patient presented with an early infection 5 d after being discharged following a total hip replacement and the second patient presented at the emergency ward with a late infection, thirteen years follow...

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Bibliographic Details
Published inWorld journal of clinical cases Vol. 2; no. 7; pp. 304 - 308
Main Authors Jeroense, Kimberly Tv, Kuiper, Jesse Wp, Colen, Sascha, Schade, Rogier P, Saouti, Rachid
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 16.07.2014
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Summary:We describe two cases of prosthetic joint infection (PJI) of the hip due to Salmonella. The first patient presented with an early infection 5 d after being discharged following a total hip replacement and the second patient presented at the emergency ward with a late infection, thirteen years following a total hip replacement. Both cases occurred within one month of each other at our institution and both were successfully treated with a one-stage revision. PJI caused by Salmonella species is very rare: so far only 20 Salmonella PJIs of the hip have been described. Therefore, full consensus on the best treatment approach has not yet been reached. An aggressive two-stage approach is advised because of the virulence of Salmonella, although a limited number of successful one-stage approaches have been described as well. According to the latest guidelines, one-stage revision has comparable success rates and less morbidity compared to two-stage treatment, when selecting the right patients. In our opinion, PJI caused by Salmonella should be treated just as PJI caused by other bacteria, with consideration of the selection criteria as mentioned in several treatment guidelines. As illustrated by these two cases, one-stage revision can be successful in both early and late Salmonella PJI of the hip.
Bibliography:Author contributions: Jeroense KTV, Kuiper JWP, Colen S, Schade RP and Saouti R designed the report; Kuiper JWP, Jeroense KTV and Saouti R collected the patient’s clinical data; Jeroense KTV and Kuiper JWP wrote the paper; all authors revised the manuscript.
Correspondence to: Jesse WP Kuiper, Orthopaedic Surgery Resident, Centre for Orthopaedic Research Alkmaar, Medical Centre Alkmaar, Wilhelminalaan 12, Alkmaar 1815 JD, The Netherlands. jwp.kuiper@gmail.com
Telephone: +31-72-5484342 Fax: +31-72-5482168
ISSN:2307-8960
2307-8960
DOI:10.12998/wjcc.v2.i7.304