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.

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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