Clostridium cadaveris Septic Arthritis after Total Hip Arthroplasty in a Metastatic Breast Cancer Patient

Abstract We report the first known case of septic arthritis in the setting of total hip arthroplasty caused by Clostridium cadaveris , a gas-forming anaerobic enteric organism usually considered a non-pathogen. This case occurred in a patient treated with total hip arthroplasty for metastatic breast...

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Bibliographic Details
Published in:The Journal of arthroplasty 2007-02, Vol.22 (2), p.289-292
Main Authors: Morshed, Saam, MD, MPH, Malek, Farbod, MD, Silverstein, Robert M., MD, O'Donnell, Richard J., MD
Format: Article
Language:English
Subjects:
Acetabulum - pathology
Acetabulum - surgery
Anti-Infective Agents - therapeutic use
Arthritis, Infectious - microbiology
Arthritis, Infectious - therapy
Arthroplasty, Replacement, Hip
Bone Neoplasms - secondary
Bone Neoplasms - surgery
Breast Neoplasms - pathology
Clostridium cadaveris
Clostridium Infections - microbiology
Clostridium Infections - therapy
Debridement
Fatal Outcome
Female
Humans
malignancy
Middle Aged
Orthopedics
prosthesis retention
sepsis
total hip arthroplasty
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Summary:Abstract We report the first known case of septic arthritis in the setting of total hip arthroplasty caused by Clostridium cadaveris , a gas-forming anaerobic enteric organism usually considered a non-pathogen. This case occurred in a patient treated with total hip arthroplasty for metastatic breast cancer involving the acetabulum. The patient was managed successfully with debridement, prosthetic retention, and chronic antibiotic suppression. We propose this mode of care as a successful alternative for some patients with prosthetic joint infection and prohibitive comorbid conditions.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2006.02.158