Total hip prosthesis complication, periprosthetic infection with external fistulizing due to Enterobacter cloacae complex multiple drugs resistance: A clinical case report

Amorese, Veronica; Corda, Marco; Donadu, Matthew Gavino; Usai, Donatella; Pisanu, Francesco; Milia, F.; Marras, Francesco; Sanna, A.; Delogu, Domenico; Mazzarello, Vittorio; Manzoni, Giuseppina; Conti, Maurizio; Meloni, Giovanni Battista; Zanetti, Stefania Anna Lucia; Doria, Carlo

doi:10.1016/j.ijscr.2017.05.018

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…Periprosthetic joint infections can negatively affect the clinical outcome of both primary and revision total joint arthroplasty [1,[16][17][18][19]. Streptococcocus species cause between 4 to 16% of periprosthetic joint infections, which are most often related to hematogenous bacterial seeding of the prosthesis from oral or urogenital sources.…”

Section: Discussionmentioning

confidence: 99%

Late onset periprosthetic joint infection of the knee caused by Streptococcus anginosus. Case presentation and literature review

Marongiu

Conte

Verderosa

et al. 2021

J Infect Dev Ctries

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Periprosthetic joint infection (PJI) is one of the most dramatic complications of joint arthroplasty. Although streptococcal bone and joint infections are less common than staphylococcal cases, their role as causative agents of bone and joint remains significant accounting for at least 10% of PJIs. Streptococcus anginosus group (SAG) bacteria are usually found in the normal flora of the urogenital tract, intestinal tract and oropharynx and could cause pyogenic infections to affect brain, lungs and liver. SAG bacteria are uncommonly reported as a cause of osteomyelitis and the involvement of a joint represent a rare event. S. anginosus has been anecdotical related to implant devices infections such as vascular prosthesis or orthopedic implants, however, PJI of the knee has never been fully reported before. We describe the case of a late onset periprosthetic knee infection due to Streptococcus anginosus successfully treated by a two-stage revision arthroplasty and postoperative parenteral Vancomycin, (2 g per day) and Levofloxacin (750 mg per day) for 4 weeks and then oral Levofloxacin for a further 2 weeks.

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Section: Discussionmentioning

confidence: 99%

Late onset periprosthetic joint infection of the knee caused by Streptococcus anginosus. Case presentation and literature review

Marongiu

Conte

Verderosa

et al. 2021

J Infect Dev Ctries

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“…Skin-concomitant bacteria, in particular grampositive cocci, are the most typical isolates: S. aureus, enterococci and streptococci; coagulase-negative staphylococci and S. aureus are responsible for 50%-60% of the cases; moreover, recently, a rise of methicillin-resistant strains has been observed. Among gram-negative bacteria it is worth mentioning P. aeruginosa [7].…”

Section: Introductionmentioning

confidence: 99%

In vitro activity of essential oils against Pseudomonas aeruginosa isolated from infected hip implants

Amorese

Donadu

Usai

et al. 2018

J Infect Dev Ctries

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Introduction: Essential oils have been used since ancient times and are known for their anti-inflammatory, anti-depressive, antiseptic, antifungal and antimicrobial properties. Methodology: in this study the antimicrobial activity of two essential oils from Melaleuca alternifolia and Thymus vulgaris–red thyme geraniol was tested against 16 multidrug-resistant P. aeruginosa strains from infected hip implants as well as the “in vitro” cytotoxic activity on normal human Wong-Kilbourne derivative (WKD) cells. Results: Thymus vulgaris–red thyme geraniol showed lower antimicrobial activity when compared to Melaleuca alternifolia. All tested oils were cytotoxic at concentrations lower than 0.12%. Conclusion: Increase in drug resistance and lack of new antibiotics may encourage the development of natural treatments together with higher concern on environmental issues and natural lifestyle.

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Total hip prosthesis complication, periprosthetic infection with external fistulizing due to Enterobacter cloacae complex multiple drugs resistance: A clinical case report

Cited by 2 publications

References 8 publications

Late onset periprosthetic joint infection of the knee caused by Streptococcus anginosus. Case presentation and literature review

Late onset periprosthetic joint infection of the knee caused by Streptococcus anginosus. Case presentation and literature review

In vitro activity of essential oils against Pseudomonas aeruginosa isolated from infected hip implants

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