Recurrent prosthetic joint infection due to Salmonella enteritidis: case report and literature review

Abstract

Prosthetic joint infection (PJI) due to Salmonella spp. is rare. We report a case of a recurrent prosthetic infection with involvement of two joints in a 72-year-old man and review the literature. The review of all cases previously reported and our case shows that conservative approach using antibiotics alone is insufficient to cure the infection. Prolonged antibiotic treatment and two-stage reconstruction with the use of joint spacer is the best choice for the treatment. Salmonella spp. should be considered as a cause of PJI, especially in patients with previous infections caused by this microorganism.

UnusualSalmonella typhiperiprosthetic joint infection involving bilateral knees: management options and literature review

“…Of this, only one patient undergoing two-stage revision had recurrence of symptoms 5. A two-stage revision using antibiotic spacer yielded good result bilaterally in our case with no recurrence of symptoms and good functional outcome.…”

“…To the best of our knowledge, no case of S. typhi has been reported in the literature to date. S-PJI usually affects a single joint and bilateral involvement is extremely rare with only one case of unilateral hip and knee affection5 and one case of bilateral knee7 involvement reported in literature. The higher frequency of NTS strains causing PJI may be due to its global distribution and the fact that bacteraemia and extraintestinal manifestations are more common with NTS (seen in 5% of infected cases) 4 8…”

“…In an extensive literature review of S-PJI, de la Torre et al 5 have shown that the outcome following removal of part of prosthesis or complete replacement was uniformly favourable. They reported a case of recurrent knee PJI following two-stage revision with concomitant hip PJI with S. enteritidis .…”

Periprostetic Joint Infection Caused by Salmonella: Case Reports of Two Azathioprine and Prednisolone Induced-immunocompromised Patients

“…While isolated organisms are most commonly Gram-positive cocci, rarely Gramnegative bacteria are also reported as causative organisms2). Periprosthetic joint infections (PJIs) due to Salmonella are rare with only 30 cases reported in the literature3). The incidence of Salmonella infection increases in patients with sickle cell anemia, collagen vascular diseases, alcoholism, malignancies, immunosuppression, and past history of gastrointestinal system surgeries.…”

Total hip arthroplasty infection caused by an unusual organism,Salmonella; its successful management and literature review

“…This suggests that despite taking a course of antibiotics while on holiday in an attempt to treat his diarrhoea, he had either seeding in his arthritic hip prior to surgery or subclinical  Salmonella bacteraemia at the time of surgery. The majority of these infections are in patients who suffer a gastrointestinal infection postoperatively which can lead to seeding into the new prosthetic joint 15. This case highlights the importance of preoperative consultation and fully exploring any recent illness or foreign travel.…”