Arthroplasty Infection by Priopionibacterium granulosum Treated With Reimplantation Despite Ongoing Purulent-Appearing Fluid Collection

Lukas M Nystrom; Casi M Wyatt; Nicolas O Noiseux

doi:10.1016/j.arth.2012.03.004

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Arthroplasty Infection by Priopionibacterium granulosum Treated With Reimplantation Despite Ongoing Purulent-Appearing Fluid Collection

Journal article

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Arthroplasty Infection by Priopionibacterium granulosum Treated With Reimplantation Despite Ongoing Purulent-Appearing Fluid Collection

Lukas M Nystrom, Casi M Wyatt and Nicolas O Noiseux

The Journal of arthroplasty, Vol.28(1), pp.198.e5-198.e8

01/2013

DOI: 10.1016/j.arth.2012.03.004

PMID: 22552222

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Abstract

We present the first case of infection in a native or prosthetic joint by Propionibacterium granulosum in which a patient developed symptoms of prosthetic hip infection 5 years after primary surgery. The patient required multiple operative debridements to eradicate the infection and was successfully reimplanted despite an ongoing purulent-appearing, although sterile, fluid collection at the time of reimplantation. There is no clinical or laboratory evidence of infection at 3 years post-reimplantation, and the patient has a well-functioning total hip arthroplasty. P granulosum is a low-virulence but highly-inflammatory organism. It seems to produce a large fluid collection that may require multiple debridements. To our knowledge, there are no reported cases of native or prosthetic joint infection from P granulosum. We present the first case here.

reimplantation

infection

arthroplasty

Priopionibacterium granulosum

Details

Title: Subtitle: Arthroplasty Infection by Priopionibacterium granulosum Treated With Reimplantation Despite Ongoing Purulent-Appearing Fluid Collection
Creators: Lukas M Nystrom - Department of Orthopaedics & Rehabilitation, University of Iowa Hospitals & Clinics, Iowa City, Iowa
Casi M Wyatt - University of Iowa Carver College of Medicine, Department of Internal Medicine, Division of Infectious Diseases, Iowa City, Iowa
Nicolas O Noiseux - Department of Orthopaedics & Rehabilitation, University of Iowa Hospitals & Clinics, Iowa City, Iowa
Resource Type: Journal article
Publication Details: The Journal of arthroplasty, Vol.28(1), pp.198.e5-198.e8
DOI: 10.1016/j.arth.2012.03.004
PMID: 22552222
NLM abbreviation: J Arthroplasty
ISSN: 0883-5403
eISSN: 1532-8406
Publisher: Elsevier Inc
Language: English
Date published: 01/2013
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984040553802771

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