Successful treatment of late Salmonella infections in total hip replacement - report of two cases

• Main Authors: Sisák Krisztián, Kovács Gyula, Janositz Gábor, Tóth Kálmán, Rudner Ervin
• Format: Article
• Language: English
• Published: BMC 2010-06-01
• Series: BMC Infectious Diseases
• Online Access: http://www.biomedcentral.com/1471-2334/10/160

<p>Abstract</p> <p>Background</p> <p>Salmonella species can be rarely isolated from periprosthetic joint infections, however when present, are usually part of a severe septic clinical picture.</p> <p>Case presentations</p> <p>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.</p> <p>Conclusions</p> <p>Successful treatment of such potentially life threatening infections is achievable using modern orthopaedic techniques and close collaboration with the infectious diseases specialists.</p>