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Haematogenous Periprosthetic Hip Joint Infection Caused by Salmonella May Be Paucisymptomatic: A Report of 2 Cases
Case Reports in Orthopedic Research Pub Date : 2022-10-03 , DOI: 10.1159/000526667
Lara Pozzi , Corina Dommann-Scherrer , Christoph Meier , Peter Wahl

Periprosthetic joint infection (PJI) with Salmonella is rare. We therefore describe two cases of PJI with Salmonella spp. Case one is a 79-year-old female that presented with fever and acute left hip pain 16 months after revision total hip arthroplasty (THA) performed due to instability. Case two is a 82-year-old male after revision THA due to periprosthetic pseudotumor 22 years after THA. Microbiological work up of intra-operatively obtained specimen showed growth of Salmonella spp. In both patients, implant-retaining treatment was successful. Patients with PJI with Salmonella may be oligosymptomatic, potentially delaying the diagnosis. Successful implant-retraining treatment is possible.
Case Rep Orthop Res 2022;5:90–96


中文翻译:

沙门氏菌致血源性髋关节假体周围感染可能无症状:附2例报告

沙门氏菌引起的假体周围感染 (PJI)很少见。因此,我们描述了两例沙门氏菌的 PJI 病例。病例 1 是一名 79 岁女性,因不稳定而进行全髋关节置换术 (THA) 翻修后 16 个月出现发烧和急性左髋疼痛。病例 2 为 82 岁男性,THA 术后 22 年因假体周围假瘤进行 THA 翻修。术中获得的标本的微生物学检查显示沙门氏菌生长。在这两名患者中,种植体固位治疗都是成功的。患有沙门氏菌的 PJI 患者可能没有症状,可能会延迟诊断。成功的种植体再训练治疗是可能的。
案例代表 Orthop Res 2022;5:90–96
更新日期:2022-10-03
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