Debridement, antibiotics, and implant retention in infected shoulder arthroplasty caused by Serratia marcescens: a case report

Periprosthetic joint infection (PJI) is one of the most devastating complications that can occur after shoulder arthroplasty. Although staged revision arthroplasty is the standard treatment in many cases, surgical intervention with debridement, antibiotics, and implant retention (DAIR) can be an eff...

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Bibliographic Details
Published inClinics in shoulder and elbow Vol. 25; no. 2; pp. 154 - 157
Main Authors Lim, Sungjoon, Lee, Jun-Bum, Shin, Myoung Yeol, Jeon, In-Ho
Format Journal Article
LanguageKorean
Published 2022
Subjects
Arthroplasty, replacement, shoulder
Debridement
Anti-bacterial agents
Shoulder
Prosthesis-related infections
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Summary:Periprosthetic joint infection (PJI) is one of the most devastating complications that can occur after shoulder arthroplasty. Although staged revision arthroplasty is the standard treatment in many cases, surgical intervention with debridement, antibiotics, and implant retention (DAIR) can be an effective option for acute PJI. We report a complex case of infected reverse shoulder arthroplasty (RSA) in a 73-year-old male. The patient had been previously treated for infected nonunion of a proximal humerus fracture caused by methicillin-resistant Staphylococcus epidermidis. He presented with a sinus tract 16 days after the implantation of RSA and was diagnosed with PJI caused by Serratia marcescens. The patient was successfully treated with DAIR and was free of infection at the last follow-up visit at 4 years postoperatively.
Bibliography:KISTI1.1003/JNL.JAKO202229961598634
ISSN:2383-8337
2288-8721