Infection of a total hip arthroplasty with actinomyces israelii: Report of a case.

North American Journal of Medical Sciences
Feiran WuEric Masterson

Abstract

Infection of following total hip arthroplasties can be classified based on the timing of infection. Late infections with Actinomyces israelii are extremely rare with only 3 previously reported cases in literature. We present another case of a late infection with Actinomyces israelii in a total hip arthroplasty 9 years following implantation. A 71-year-old male with diabetes mellitus presented with right hip pain 9 years following a total hip arthroplasty. Physical examination revealed localised pain and biochemical investigations showed elevated inflammatory markers. X-rays were suspicious for infection and a collection around the prosthesis was confirmed by MRI scan. The patient underwent debridement and removal of prosthesis. Peri-operative specimen cultures isolated Actinomyces israelii. The patient responded to a combination of vancomycin followed by ciprofloxacin and linezolid therapy before undergoing a successful second-stage reimplantation surgery. This is the first reported case of late haematogenous infection by Actinomyces israelii in a total hip arthroplasty in a patient with diabetes mellitus as the only risk factor. The patient was successfully treated with antibiotic therapy and two-stage reimplantation arthropla...Continue Reading

Citations

Sep 6, 2015·Anaerobe·Neel B ShahElie F Berbari
May 18, 2016·Journal of Clinical Orthopaedics and Trauma·Sonam Sharma, Sansar Chand Sharma
Sep 27, 2019·Journal of Bone and Joint Infection·Ramez DagherElie F Berbari
Nov 20, 2020·Journal of Clinical Microbiology·Emilie Talagrand-ReboulAntoine Grillon

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Methods Mentioned

BETA
total hip arthroplasties
biopsies
total hip arthroplasty

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