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Group B streptococcal prosthetic joint infections.

J M Duggan1, G Georgiadis, C VanGorp

  • 1Department of Internal Medicine, Medical College of Ohio, Toledo 43699-0008, USA.

Journal of the Southern Orthopaedic Association
|July 23, 2002
PubMed
Summary

Group B Streptococcus can cause late prosthetic joint infections, often presenting as joint pain years after surgery. Treatment may require prosthesis removal and antibiotics.

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Area of Science:

  • Infectious Diseases
  • Orthopedic Surgery
  • Microbiology

Background:

  • Prosthetic joint infections (PJIs) are serious complications following joint replacement surgery.
  • Group B Streptococcus (GBS) is an uncommon but significant pathogen in PJIs, particularly in adults.

Purpose of the Study:

  • To describe the clinical characteristics and outcomes of GBS prosthetic joint infections.
  • To highlight GBS as a potential cause of late-onset PJIs.

Main Methods:

  • Retrospective case series and literature review.
  • Analysis of 14 patients with GBS prosthetic joint infections.

Main Results:

  • The average age of affected patients was 69 years, with hip and knee joints most commonly involved.
  • Symptoms typically manifested approximately 4 years after initial surgery, with joint pain as the primary complaint.
  • Nine patients required prosthesis removal, while two achieved cure with prosthesis retention.

Conclusions:

  • Group B streptococcal prosthetic joint infections represent a challenging late complication of joint replacement.
  • Early diagnosis and appropriate management, often involving surgical intervention, are crucial for successful outcomes.

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