Journal article
Prosthetic hip infection due to Campylobacter jejuni
BMJ case reports, Vol.15(3), p.e248240
03/10/2022
DOI: 10.1136/bcr-2021-248240
PMCID: PMC8915350
PMID: 35272991
Abstract
A woman in her 60s with a left hip prosthesis was presented with left hip pain and fever. She had an elevated white blood cell count and inflammatory markers. Synovial fluid Gram stain demonstrated curved Gram-negative rods identified as
The patient initially refused surgery and after 3 months underwent one-stage exchange after which she was treated with 12 weeks of levofloxacin. Her inflammatory markers normalised and she was clinically doing well at her 6-month follow-up.
is a rare cause of prosthetic joint infection and should be included in the differential diagnosis when a patient has risk factors even without significant preceding gastrointestinal symptoms. Per most recent Infectious Diseases Society of America guidelines, treatment after one-stage revision includes 4-6 weeks of intravenous antimicrobials followed by possible oral suppression therapy, while the European guidelines recommend 12 weeks of orally bioavailable antibiotics.
Details
- Title: Subtitle
- Prosthetic hip infection due to Campylobacter jejuni
- Creators
- Andrew Joseph Simms - University of Iowa Hospitals and ClinicsTakaaki Kobayashi - University of IowaPatrick V Schwartzhoff - Internal Medicine, Carver College of Medicine, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USAPoorani Sekar - University of Iowa Hospitals and Clinics
- Resource Type
- Journal article
- Publication Details
- BMJ case reports, Vol.15(3), p.e248240
- DOI
- 10.1136/bcr-2021-248240
- PMID
- 35272991
- PMCID
- PMC8915350
- ISSN
- 1757-790X
- eISSN
- 1757-790X
- Language
- English
- Date published
- 03/10/2022
- Academic Unit
- Infectious Diseases; Internal Medicine
- Record Identifier
- 9984359769902771
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