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[Erysipelas after osteoarticular prosthesis].

A S Dhrif1, D El Euch, N Ben Tekaya

  • 1Service de dermatologie, hôpital La-Rabta de Tunis, Jabbari 1007, Tunisie. asma_sidh@yahoo.fr

Medecine Et Maladies Infectieuses
|November 8, 2005
PubMed
Summary

Erysipelas following osteoarticular prosthesis implantation is uncommon. While typically treatable, some patients experienced relapses despite antibiotic prophylaxis, highlighting potential challenges in managing this rare complication.

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Area of Science:

  • Dermatology
  • Infectious Diseases
  • Orthopedic Surgery

Background:

  • Erysipelas is a bacterial skin infection, typically affecting the lower extremities.
  • Osteoarticular prosthesis implantation is a common orthopedic procedure.
  • The association between erysipelas and osteoarticular prosthesis is infrequently documented.

Observation:

  • A retrospective study identified 3 patients with erysipelas post-osteoarticular prosthesis implantation.
  • The time from prosthesis implantation to erysipelas onset ranged from 6 months to 30 years.
  • No clinical or radiological signs of prosthesis infection were observed in these patients.

Findings:

  • All patients received intravenous penicillin G and local care with initial favorable outcomes.

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  • Two out of three patients experienced relapses despite antibiotic prophylaxis.
  • One patient had a history of chronic venous insufficiency and leg ulcers.

    • Implications:

    • Erysipelas can occur years after osteoarticular prosthesis implantation without direct implant infection.
    • Relapse is a concern, suggesting the need for careful monitoring and potentially prolonged prophylactic measures.
    • Further research is warranted to understand the underlying mechanisms and optimize management strategies for this rare condition.