Total Hip Arthroplasty Infection With Chlamydia Pneumoniae and Mycobacterium Chelonae

Mathews, Peter V.; Kane, Thomas J

doi:10.3928/0147-7447-20050601-20

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…Despite a classification system for atypical mycobacteria, 6 there is no consensus on treatment regimens. 5,[7][8][9] In a series of 8 cases of prosthetic joint infections caused by rapidly growing mycobacteria, 2 at least 6 months of antimicrobial treatment was recommended. In our patient, the duration of treatment was only 3 months, which was already double the time for usual bacterial infections.…”

Section: Discussionmentioning

confidence: 99%

Mycobacterium Chelonae Infection after Total Knee Arthroplasty: A Case Report

Lee

Cheung

Chiu

et al. 2012

J Orthop Surg (Hong Kong)

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We present a case of Mycobacterium chelonae infection after total knee arthroplasty in a 70-year-old woman. The patient underwent implant removal, drainage, debridement, and insertion of a gentamycin-load cement spacer. After 4 months, the second-stage surgery was performed. Intravenous amikacin (6 weeks) and oral clarithromycin (12 weeks) were given. At the 12-month follow-up, the patient achieved 90º of flexion and could walk with a stick for up to 15 minutes. She was not taking any analgesics. Key words:arthroplasty, replacement, knee; mycobacterium infections, nontuberculous; reoperation introduction Atypical mycobacterium infection after total knee arthroplasty (TKA) is rare and devastating. We present one such case in a 70-year-old woman.

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Section: Discussionmentioning

confidence: 99%

Mycobacterium Chelonae Infection after Total Knee Arthroplasty: A Case Report

Lee

Cheung

Chiu

et al. 2012

J Orthop Surg (Hong Kong)

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Infection of total hip prosthesis by Mycobacterium tuberculosis and Mycobacterium chelonae in a patient with rheumatoid arthritis

2007

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Atypical mycobacterial infections of the musculoskeletal system are very rare and are generally associated with predisposing factors, such as trauma, use of corticosteroids, or an immunocompromised state. There have only been three reports of Mycobacterium chelonae prosthetic infection of which two cases were associated with total hip arthroplasty and one with total knee arthroplasty and no reports of both Mycobacterium tuberculosis and M. chelonae occurring in the same joint. We report a case of a patient with rheumatoid arthritis treated with low-dose methotrexate (15 mg/week) who developed infection with both M. tuberculosis and M. chelonae after the revision of a prosthetic hip. Joint infections by mycobacteria are clinically indistinguishable from those caused by more common bacterial pathogens and, therefore, diagnosis is often delayed. Recurrent prosthetic hip infections, particularly in immunosuppressive patients, should alert the physician to consider the possibility of both tuberculous and atypical mycobacterial infections. Obtaining appropriate cultures can be critical in making the diagnosis and directing treatment. With the increasing use of immunosuppressive agents, including TNF alpha inhibitors, it is likely that there will be an increase in the number of mycobacterial infections complicating arthroplasties.

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Prosthetic joint infections secondary to rapidly growing mycobacteria: Two case reports and a review of the literature

Henry

Miller

Kahn

et al. 2016

Infectious Diseases

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Rapidly growing mycobacteria (RGM) are a rare but treatable cause of prosthetic joint infections. This study reports on two patients comprising three prosthetic joint infections caused by RGM successfully treated at the institution. With removal of the infected prosthetic joint and judicious use of prolonged courses of antibiotics, patients with prosthetic joint infections secondary to RGM can both be cured and retain function of the affected joint. In addition, this study identified 40 additional cases reported during an extensive review of the literature and provide a summary of these cases. These infections can present within days of arthroplasty or can develop only decades after the index surgery. The clinical presentations often mimic those of more routine bacterial prosthetic joint infections.

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Total Hip Arthroplasty Infection With Chlamydia Pneumoniae and Mycobacterium Chelonae

Cited by 3 publications

References 9 publications

Mycobacterium Chelonae Infection after Total Knee Arthroplasty: A Case Report

Mycobacterium Chelonae Infection after Total Knee Arthroplasty: A Case Report

Infection of total hip prosthesis by Mycobacterium tuberculosis and Mycobacterium chelonae in a patient with rheumatoid arthritis

Prosthetic joint infections secondary to rapidly growing mycobacteria: Two case reports and a review of the literature

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