Etiology and Pathogenesis of Knee Replacement Infections

Ferry, Tristan; Conrad, Anne; Josse, Jérôme; Triffault-Fillit, Claire; Becker, Agathe; Chauvelot, Pierre; Batailler, Cécile; Brosset, Sophie; Trécourt, Alexis; Sappey‐Marinier, Elliot; Laurent, Frédéric; Lustig, Sébastien; Valour, Florent

doi:10.1007/978-3-030-81553-0_2

Infection in Knee Replacement 2021

DOI: 10.1007/978-3-030-81553-0_2

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Etiology and Pathogenesis of Knee Replacement Infections

Tristan Ferry¹,

Anne Conrad²,

Jérôme Josse³

et al.

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2024

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Periprosthetic Joint Infection Caused by Providencia stuartii: A Case Report

Panev,

Ivanov,

Georgiev

et al. 2024

Cureus

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Periprosthetic joint infection (PJI) is a rare yet serious complication following a total hip replacement, predominantly caused by gram-positive bacteria such as Staphylococcus aureus and Staphylococcus epidermidis. However, gram-negative pathogens can also be isolated. This case report presents a 22-year-old patient with a PJI caused by Providencia stuartii after total hip replacement due to a motor vehicle accident. The patient with a clinical history of total hip replacement secondary to posttraumatic arthrosis presented to our department with clinical and laboratory indications of PJI in the right hip. Microbiological samples revealed P. stuartii , a multidrug-resistant gram-negative pathogen. A two-stage revision with a double spacer exchange procedure was performed. Antibiotic treatment with prolonged meropenem infusion via an infusion pump was administered. After two years of follow-up, no signs of infection were observed. The exchange spacer procedure with prolonged antibiotic administration for the treatment of difficult-to-treat pathogens causing PJI is a high-risk procedure associated with significant mortality. Nevertheless, for young patients with robust reparative capabilities, it may be considered a viable therapeutic option.

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Periprosthetic Joint Infection Caused by Providencia stuartii: A Case Report

Panev,

Ivanov,

Georgiev

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

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Etiology and Pathogenesis of Knee Replacement Infections

Cited by 1 publication

References 152 publications

Periprosthetic Joint Infection Caused by Providencia stuartii: A Case Report

Periprosthetic Joint Infection Caused by Providencia stuartii: A Case Report

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