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Author Spotlight: Advancing Research on Candida albicans Biofilm-Associated Prosthetic Joint Infections
Published on: February 2, 2024
Recurrent prosthetic joint infection due to Salmonella enteritidis: case report and literature review
Basilio de la Torre1, Daniel Tena2, Marta Arias2
1Service of Traumatology and Orthopaedic Surgery, University Hospital of Guadalajara, C/. Donantes de sangre s/n, 19003, Guadalajara, Spain. bjtorre@gmail.com.
Abstract:
Prosthetic joint infection (PJI) due to Salmonella spp. is rare. We report a case of a recurrent prosthetic infection with involvement of two joints in a 72-year-old man and review the literature. The review of all cases previously reported and our case shows that conservative approach using antibiotics alone is insufficient to cure the infection. Prolonged antibiotic treatment and two-stage reconstruction with the use of joint spacer is the best choice for the treatment. Salmonella spp. should be considered as a cause of PJI, especially in patients with previous infections caused by this microorganism.
Insights
Prosthetic joint infections (PJI) caused by Salmonella are uncommon. A combination of prolonged antibiotics and two-stage reconstruction with joint spacers is the most effective treatment for Salmonella PJI.
Area of Science:
- Infectious Diseases
- Orthopedic Surgery
- Microbiology
Background:
- Prosthetic joint infection (PJI) is a serious complication following joint replacement surgery.
- Infections caused by Salmonella species are rare but can be severe.
Purpose of the Study:
- To report a rare case of recurrent PJI caused by Salmonella spp. involving two joints.
- To review the literature on Salmonella PJI and determine optimal treatment strategies.
Main Methods:
- Case report of a 72-year-old male with recurrent Salmonella PJI.
- Comprehensive literature review of previously reported Salmonella PJI cases.
Main Results:
- Conservative treatment with antibiotics alone was insufficient for cure.
- Prolonged antibiotic therapy combined with two-stage reconstruction using joint spacers proved effective.
- Salmonella spp. should be considered in PJI, particularly in patients with prior Salmonella infections.
Conclusions:
- Salmonella PJI is a rare but significant clinical entity.
- Effective management requires a multi-faceted approach including prolonged antibiotics and surgical intervention.
- Early consideration of Salmonella is crucial for appropriate patient management.
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