Translocation of Clostridial Infection as a Complication of Hip Arthroplasty in the Early Postoperative Period: Case Report

Background. Periprosthetic joint infection in the early postoperative period is a severe infectious complication. Its development, as a rule, is associated with the exogenous surgical wound infection, with the iatrogenic factor at the forefront. Clinical case description. A 73-years-old female with...

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Main Authors: V. V. Pavlov, T. U. Sheraliev, S. I. Kirilina, S. O. Kretien
Format: Article
Language:Russian
Published: Vreden Russian Research Institute of Traumatology and Orthopedics 2020-12-01
Series:Travmatologiâ i Ortopediâ Rossii
Subjects:
Online Access:https://journal.rniito.org/jour/article/view/1455
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spelling doaj-ebe9a8190f9840d181f8592cff28b87c2021-07-29T08:01:21ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332020-12-0126412112910.21823/2311-2905-2020-26-4-121-129928Translocation of Clostridial Infection as a Complication of Hip Arthroplasty in the Early Postoperative Period: Case ReportV. V. Pavlov0T. U. Sheraliev1S. I. Kirilina2S. O. Kretien3Tsivyan Novosibirsk Research Institute of Traumatology and OrthopaedicsTsivyan Novosibirsk Research Institute of Traumatology and OrthopaedicsTsivyan Novosibirsk Research Institute of Traumatology and OrthopaedicsTsivyan Novosibirsk Research Institute of Traumatology and OrthopaedicsBackground. Periprosthetic joint infection in the early postoperative period is a severe infectious complication. Its development, as a rule, is associated with the exogenous surgical wound infection, with the iatrogenic factor at the forefront. Clinical case description. A 73-years-old female with left-sided idiopathic 3rd stage hip osteoarthritis and concomitant pathology with a high degree of comorbidity underwent left hip arthroplasty with a cement-fixed “Endoservice” endoprosthesis. In the early postoperative period (4th to 6th days), against the background of chronic calculous cholecystitis exacerbation and gastrointestinal dysfunction, clostridial septicemia developed as a result of bacterial translocation. The timely diagnosis of the endogenous nature of this infection and the targeted antibiotic therapy prevented the surgical wound and endoprosthesis infection. The Harris score for the function of the left hip at discharge was 78 points. Conclusion. The presented clinical case demonstrates the importance of careful preoperative planning, especially in the patient with identifying somatic pathology of infectious nature, the need to detail the organ-specific microbiota as a mandatory procedure, as well as the prevention of periprosthetic joint infection during orthopedic operations, taking into account the data obtained.https://journal.rniito.org/jour/article/view/1455bacterial translocationclostridial infection<i>clostridium perfringens</i>hip arthroplasty
collection DOAJ
language Russian
format Article
sources DOAJ
author V. V. Pavlov
T. U. Sheraliev
S. I. Kirilina
S. O. Kretien
spellingShingle V. V. Pavlov
T. U. Sheraliev
S. I. Kirilina
S. O. Kretien
Translocation of Clostridial Infection as a Complication of Hip Arthroplasty in the Early Postoperative Period: Case Report
Travmatologiâ i Ortopediâ Rossii
bacterial translocation
clostridial infection
<i>clostridium perfringens</i>
hip arthroplasty
author_facet V. V. Pavlov
T. U. Sheraliev
S. I. Kirilina
S. O. Kretien
author_sort V. V. Pavlov
title Translocation of Clostridial Infection as a Complication of Hip Arthroplasty in the Early Postoperative Period: Case Report
title_short Translocation of Clostridial Infection as a Complication of Hip Arthroplasty in the Early Postoperative Period: Case Report
title_full Translocation of Clostridial Infection as a Complication of Hip Arthroplasty in the Early Postoperative Period: Case Report
title_fullStr Translocation of Clostridial Infection as a Complication of Hip Arthroplasty in the Early Postoperative Period: Case Report
title_full_unstemmed Translocation of Clostridial Infection as a Complication of Hip Arthroplasty in the Early Postoperative Period: Case Report
title_sort translocation of clostridial infection as a complication of hip arthroplasty in the early postoperative period: case report
publisher Vreden Russian Research Institute of Traumatology and Orthopedics
series Travmatologiâ i Ortopediâ Rossii
issn 2311-2905
2542-0933
publishDate 2020-12-01
description Background. Periprosthetic joint infection in the early postoperative period is a severe infectious complication. Its development, as a rule, is associated with the exogenous surgical wound infection, with the iatrogenic factor at the forefront. Clinical case description. A 73-years-old female with left-sided idiopathic 3rd stage hip osteoarthritis and concomitant pathology with a high degree of comorbidity underwent left hip arthroplasty with a cement-fixed “Endoservice” endoprosthesis. In the early postoperative period (4th to 6th days), against the background of chronic calculous cholecystitis exacerbation and gastrointestinal dysfunction, clostridial septicemia developed as a result of bacterial translocation. The timely diagnosis of the endogenous nature of this infection and the targeted antibiotic therapy prevented the surgical wound and endoprosthesis infection. The Harris score for the function of the left hip at discharge was 78 points. Conclusion. The presented clinical case demonstrates the importance of careful preoperative planning, especially in the patient with identifying somatic pathology of infectious nature, the need to detail the organ-specific microbiota as a mandatory procedure, as well as the prevention of periprosthetic joint infection during orthopedic operations, taking into account the data obtained.
topic bacterial translocation
clostridial infection
<i>clostridium perfringens</i>
hip arthroplasty
url https://journal.rniito.org/jour/article/view/1455
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AT tusheraliev translocationofclostridialinfectionasacomplicationofhiparthroplastyintheearlypostoperativeperiodcasereport
AT sikirilina translocationofclostridialinfectionasacomplicationofhiparthroplastyintheearlypostoperativeperiodcasereport
AT sokretien translocationofclostridialinfectionasacomplicationofhiparthroplastyintheearlypostoperativeperiodcasereport
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