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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
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[Infection of a total knee prosthesis with Brucella spp].

F Marbach1, L Saiah, J F Fischer

  • 1Service d'orthopédie et de traumatologie de l'appareil moteur, Hôpital du Chablais, 1870 Monthey. francesco.marbach@fhv.ch

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|May 29, 2007
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Summary

Brucellosis can cause osteoarticular infections, including rare prosthetic joint infections. This case highlights successful treatment using prosthesis exchange and long-term antibiotics for Brucella prosthetic joint infection.

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Area of Science:

  • Infectious Diseases
  • Orthopedic Surgery
  • Microbiology

Background:

  • Brucellosis is a global zoonotic disease with osteoarticular complications being most common.
  • Prosthetic joint infections (PJIs) are significant complications of total joint arthroplasty, often caused by staphylococci.
  • Brucella spp. are infrequently reported as causative agents of PJIs.

Observation:

  • A rare case of prosthetic joint infection caused by Brucella spp. was identified.
  • Polymerase chain reaction (PCR) was utilized for definitive diagnosis of Brucella infection.
  • The patient presented with symptoms indicative of a prosthetic joint infection.

Findings:

  • The patient with Brucella prosthetic joint infection was successfully treated.
  • Treatment involved a two-stage exchange of the infected prosthesis.
  • Long-term antimicrobial therapy was crucial for eradicating the Brucella infection.

Implications:

  • This case underscores the importance of considering Brucella spp. in prosthetic joint infections, even when rare.
  • Effective management requires a combination of surgical intervention and prolonged antibiotic treatment.
  • Early and accurate diagnosis using molecular methods like PCR is vital for successful outcomes in prosthetic joint infections.