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Successful treatment of late Salmonella infections in total hip replacement - report of two cases
Salmonella species can be rarely isolated from periprosthetic joint infections, however when present, are usually part of a severe septic clinical picture. Two patients presented with late infected hip replacements to our institution. The first patient with multiple comorbidities had a confirmed Sal...
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Published in: | BMC infectious diseases 2010-06, Vol.10 (1), p.160-160, Article 160 |
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creator | Tóth, Kálmán Janositz, Gábor Kovács, Gyula Sisák, Krisztián Rudner, Ervin |
description | Salmonella species can be rarely isolated from periprosthetic joint infections, however when present, are usually part of a severe septic clinical picture.
Two patients presented with late infected hip replacements to our institution. The first patient with multiple comorbidities had a confirmed Salmonella Enteridis infection with an abscess in the groin, with loosening of both components. He underwent a successful one stage cemented revision hip replacement, followed by 6 weeks of antibiotic therapy (ciprofloxacin). He had no recurrence or complications. The second patient was admitted in a septic condition with ARDS to the Intensive Care Unit 7 years following an uncemented total hip replacement. From an ultrasound guided hip aspirate Salmonella cholerae-suis was isolated. He underwent a successful a two-stage revision hip replacement.
Successful treatment of such potentially life threatening infections is achievable using modern orthopaedic techniques and close collaboration with the infectious diseases specialists. |
doi_str_mv | 10.1186/1471-2334-10-160 |
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Two patients presented with late infected hip replacements to our institution. The first patient with multiple comorbidities had a confirmed Salmonella Enteridis infection with an abscess in the groin, with loosening of both components. He underwent a successful one stage cemented revision hip replacement, followed by 6 weeks of antibiotic therapy (ciprofloxacin). He had no recurrence or complications. The second patient was admitted in a septic condition with ARDS to the Intensive Care Unit 7 years following an uncemented total hip replacement. From an ultrasound guided hip aspirate Salmonella cholerae-suis was isolated. He underwent a successful a two-stage revision hip replacement.
Successful treatment of such potentially life threatening infections is achievable using modern orthopaedic techniques and close collaboration with the infectious diseases specialists.</description><identifier>ISSN: 1471-2334</identifier><identifier>EISSN: 1471-2334</identifier><identifier>DOI: 10.1186/1471-2334-10-160</identifier><identifier>PMID: 20529326</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Aged ; Anti-Bacterial Agents - therapeutic use ; Arthroplasty, Replacement, Hip ; Case Report ; Case studies ; Causes of ; Ciprofloxacin ; Ciprofloxacin - therapeutic use ; Diagnosis ; Dosage and administration ; Drug therapy ; Humans ; Male ; Middle Aged ; Prosthesis-Related Infections - drug therapy ; Prosthesis-Related Infections - microbiology ; Prosthesis-Related Infections - surgery ; Salmonella ; Salmonella arizonae - isolation & purification ; Salmonella enteritidis - isolation & purification ; Salmonella Infections - diagnosis ; Salmonella Infections - drug therapy ; Salmonella Infections - surgery ; Salmonellosis ; Treatment Outcome</subject><ispartof>BMC infectious diseases, 2010-06, Vol.10 (1), p.160-160, Article 160</ispartof><rights>COPYRIGHT 2010 BioMed Central Ltd.</rights><rights>Copyright ©2010 Tóth et al; licensee BioMed Central Ltd. 2010 Tóth et al; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b688t-1d1de32686d4a7e64cb2f856e3719d6ae816322052c034e0069c1e2c2ee0a2323</citedby><cites>FETCH-LOGICAL-b688t-1d1de32686d4a7e64cb2f856e3719d6ae816322052c034e0069c1e2c2ee0a2323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2894836/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2894836/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,37013,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20529326$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tóth, Kálmán</creatorcontrib><creatorcontrib>Janositz, Gábor</creatorcontrib><creatorcontrib>Kovács, Gyula</creatorcontrib><creatorcontrib>Sisák, Krisztián</creatorcontrib><creatorcontrib>Rudner, Ervin</creatorcontrib><title>Successful treatment of late Salmonella infections in total hip replacement - report of two cases</title><title>BMC infectious diseases</title><addtitle>BMC Infect Dis</addtitle><description>Salmonella species can be rarely isolated from periprosthetic joint infections, however when present, are usually part of a severe septic clinical picture.
Two patients presented with late infected hip replacements to our institution. The first patient with multiple comorbidities had a confirmed Salmonella Enteridis infection with an abscess in the groin, with loosening of both components. He underwent a successful one stage cemented revision hip replacement, followed by 6 weeks of antibiotic therapy (ciprofloxacin). He had no recurrence or complications. The second patient was admitted in a septic condition with ARDS to the Intensive Care Unit 7 years following an uncemented total hip replacement. From an ultrasound guided hip aspirate Salmonella cholerae-suis was isolated. He underwent a successful a two-stage revision hip replacement.
Successful treatment of such potentially life threatening infections is achievable using modern orthopaedic techniques and close collaboration with the infectious diseases specialists.</description><subject>Aged</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Arthroplasty, Replacement, Hip</subject><subject>Case Report</subject><subject>Case studies</subject><subject>Causes of</subject><subject>Ciprofloxacin</subject><subject>Ciprofloxacin - therapeutic use</subject><subject>Diagnosis</subject><subject>Dosage and administration</subject><subject>Drug therapy</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prosthesis-Related Infections - drug therapy</subject><subject>Prosthesis-Related Infections - microbiology</subject><subject>Prosthesis-Related Infections - surgery</subject><subject>Salmonella</subject><subject>Salmonella arizonae - isolation & purification</subject><subject>Salmonella enteritidis - isolation & purification</subject><subject>Salmonella Infections - diagnosis</subject><subject>Salmonella Infections - drug therapy</subject><subject>Salmonella Infections - surgery</subject><subject>Salmonellosis</subject><subject>Treatment Outcome</subject><issn>1471-2334</issn><issn>1471-2334</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNqNU01v1DAUjBCIlsKdE4rEAXFI8dc6yQWpWvGxUqVKLHC1XpyXrSsnXmyHj3-PsymrRioC5RD7vZnJy4ydZc8pOae0km-oKGnBOBcFJQWV5EF2eiw9vLM-yZ6EcEMILStWP85OGFmxmjN5msF21BpD6EabR48Qexxi7rrcQsR8C7Z3A1oLuRk61NG4IaRlHl0Em1-bfe5xb0HjgVZMO-cP_PjD5RoChqfZow5swGe377Psy_t3n9cfi8urD5v1xWXRyKqKBW1pi2mkSrYCSpRCN6yrVhJ5SetWAlZUcjYNrgkXSIisNUWmGSIBxhk_yzazbuvgRu296cH_Ug6MOhSc3ynw0WiLqhaEtTUKSRsQnJJKr5JEx0gjW4kok9bbWWs_Nj22Ov2cB7sQXXYGc6127rtiVS0qPgmsZ4HGuL8ILDva9WqKS01xKUpUSjOpvLodw7tvI4aoehP0FMeAbgyqFKIkUgrxbyTnKynLcrLp5YzcQXIiperS9_WEVheME1rT8mDm-T2o9LTYG52ORGdSfUF4vSAkTMSfcQdjCGqz_fT_2KuvSyyZsdq7EDx2Rw8nj9IduM-1F3fDOxL-HHr-G7qA_nM</recordid><startdate>20100608</startdate><enddate>20100608</enddate><creator>Tóth, Kálmán</creator><creator>Janositz, Gábor</creator><creator>Kovács, Gyula</creator><creator>Sisák, Krisztián</creator><creator>Rudner, Ervin</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>7X8</scope><scope>7QL</scope><scope>C1K</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20100608</creationdate><title>Successful treatment of late Salmonella infections in total hip replacement - report of two cases</title><author>Tóth, Kálmán ; Janositz, Gábor ; Kovács, Gyula ; Sisák, Krisztián ; Rudner, Ervin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b688t-1d1de32686d4a7e64cb2f856e3719d6ae816322052c034e0069c1e2c2ee0a2323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Arthroplasty, Replacement, Hip</topic><topic>Case Report</topic><topic>Case studies</topic><topic>Causes of</topic><topic>Ciprofloxacin</topic><topic>Ciprofloxacin - therapeutic use</topic><topic>Diagnosis</topic><topic>Dosage and administration</topic><topic>Drug therapy</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prosthesis-Related Infections - drug therapy</topic><topic>Prosthesis-Related Infections - microbiology</topic><topic>Prosthesis-Related Infections - surgery</topic><topic>Salmonella</topic><topic>Salmonella arizonae - isolation & purification</topic><topic>Salmonella enteritidis - isolation & purification</topic><topic>Salmonella Infections - diagnosis</topic><topic>Salmonella Infections - drug therapy</topic><topic>Salmonella Infections - surgery</topic><topic>Salmonellosis</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tóth, Kálmán</creatorcontrib><creatorcontrib>Janositz, Gábor</creatorcontrib><creatorcontrib>Kovács, Gyula</creatorcontrib><creatorcontrib>Sisák, Krisztián</creatorcontrib><creatorcontrib>Rudner, Ervin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>MEDLINE - Academic</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>BMC infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tóth, Kálmán</au><au>Janositz, Gábor</au><au>Kovács, Gyula</au><au>Sisák, Krisztián</au><au>Rudner, Ervin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful treatment of late Salmonella infections in total hip replacement - report of two cases</atitle><jtitle>BMC infectious diseases</jtitle><addtitle>BMC Infect Dis</addtitle><date>2010-06-08</date><risdate>2010</risdate><volume>10</volume><issue>1</issue><spage>160</spage><epage>160</epage><pages>160-160</pages><artnum>160</artnum><issn>1471-2334</issn><eissn>1471-2334</eissn><abstract>Salmonella species can be rarely isolated from periprosthetic joint infections, however when present, are usually part of a severe septic clinical picture.
Two patients presented with late infected hip replacements to our institution. The first patient with multiple comorbidities had a confirmed Salmonella Enteridis infection with an abscess in the groin, with loosening of both components. He underwent a successful one stage cemented revision hip replacement, followed by 6 weeks of antibiotic therapy (ciprofloxacin). He had no recurrence or complications. The second patient was admitted in a septic condition with ARDS to the Intensive Care Unit 7 years following an uncemented total hip replacement. From an ultrasound guided hip aspirate Salmonella cholerae-suis was isolated. He underwent a successful a two-stage revision hip replacement.
Successful treatment of such potentially life threatening infections is achievable using modern orthopaedic techniques and close collaboration with the infectious diseases specialists.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>20529326</pmid><doi>10.1186/1471-2334-10-160</doi><oa>free_for_read</oa></addata></record> |
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subjects | Aged Anti-Bacterial Agents - therapeutic use Arthroplasty, Replacement, Hip Case Report Case studies Causes of Ciprofloxacin Ciprofloxacin - therapeutic use Diagnosis Dosage and administration Drug therapy Humans Male Middle Aged Prosthesis-Related Infections - drug therapy Prosthesis-Related Infections - microbiology Prosthesis-Related Infections - surgery Salmonella Salmonella arizonae - isolation & purification Salmonella enteritidis - isolation & purification Salmonella Infections - diagnosis Salmonella Infections - drug therapy Salmonella Infections - surgery Salmonellosis Treatment Outcome |
title | Successful treatment of late Salmonella infections in total hip replacement - report of two cases |
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