Chronic prosthetic joint infection caused by Listeria monocytogenes

Peter Kleemann1, Eugen Domann2, Trinad Chakraborty2

  • 1Institute of Medical Microbiology and Hygiene, University of Marburg, Hans-Meerwein Strasse 2, 35032 Marburg, Germany.

Insights

This case study details the first reported instance of persistent human listeriosis. A prosthetic knee infection caused by Listeria monocytogenes was successfully treated with antibiotics alone, even with a drug allergy.

Area of Science:

  • Infectious Diseases
  • Orthopedic Surgery
  • Microbiology

Background:

  • Prosthetic joint infections pose significant treatment challenges.
  • Listeria monocytogenes is an opportunistic pathogen.
  • Leiomyosarcoma treatment can involve prosthetic devices.

Observation:

  • A patient developed a persistent Listeria monocytogenes infection of a prosthetic knee device.
  • The infection persisted for two years despite initial management.
  • The patient had a known allergy to ampicillin.

Findings:

  • Successful eradication of persistent prosthetic joint infection with Listeria monocytogenes.
  • Antibiotic therapy alone achieved cure without device removal or further surgery.
  • Treatment was effective despite patient's ampicillin allergy.

Implications:

  • Highlights the potential for antibiotic-only cure in select persistent prosthetic joint infections.
  • Suggests novel therapeutic strategies for challenging orthopedic implant infections.
  • Emphasizes the importance of considering Listeria monocytogenes in prosthetic device infections.

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