Yersinia enterocoliticacoxitis after hip replacement: A case report

<i>Yersinia enterocolitica</i> Infection of a Prosthetic Knee Joint. Case Report and Review of the Literature on Deep Sited Infections Caused by <i>Y. enterocolitica</i>

“…Aerobic gramnegative bacilli (Enterobacteriacae and Pseudomonas aeruginosa) account for up to 6 % of the cases. Yersinia enterocolitica is an exceptional causative agent of prosthetic joint infection with only three previously reported cases in the English literature: one in hip [7] and two in knee joints [3,4]. We report a case of a 90-year-old man with a purulent prosthetic knee joint infection caused by Y. enterocolitica.…”

“…All three Y. enterocolitica prosthetic joint infections reported earlier [3,4,7] have occurred several years after the initial joint replacement for arthrosis. Our patient also had a prosthetic knee joint for many years.…”

“…There is only one report of a prosthetic hip joint infection caused by Y. enterocolitica [7]. The patient was a 72year-old man who had undergone hip replacement for arthrosis 10 years earlier.…”

“…In addition to the three previously reported prosthetic joint infections [3,4,7], there are only a few reports of deep purulent infections caused by Y. enterocolitica: e.g. vascular graft infections [8,9], prosthetic and native valve endocarditis [10,11], mycotic aneurysm of a carotid artery [12], lung abscess and osteomyelitis [13], meningitis [14], spondylodiscitis with or without spinal abscess [15][16][17][18].…”

“…Several weeks after the surgical operation and the commencement of antimicrobial therapy, joint swelling could still be palpated and bloody joint fluid could be repeatedly aspirated. With previous case reports on yersinia joint infections, the combination of co-trimoxazole and ciprofloxacin [3] was used with success for prosthetic knee infections, intravenous cloxacillin [7] for prosthetic hip infection, and ciprofloxacin [18] for septic arthritis caused by Y. enterocolitica.…”