Periprosthetic joint infection caused by kytococcus schroeteri: The first reported case and a review of the

Alberto A Zellner1, Gunnar T Hischebeth2, Ernst Molitor3

  • 1Department of Orthopedics and Trauma Surgery, University Clinic of Bonn, Bonn, Germany.

Insights

This study reports the first case of Kytococcus schroeteri causing a periprosthetic joint infection (PJI). This rare Gram-positive coccus, typically skin-dwelling, highlights a new pathogen in orthopedic implant infections.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Orthopedics

Background:

  • Periprosthetic joint infections (PJI) are frequently caused by Gram-positive cocci.
  • Common culprits include Staphylococcus aureus and coagulase-negative staphylococci.
  • Kytococcus schroeteri is a rarely implicated Gram-positive coccus, typically found as skin commensal.

Observation:

  • This report details the first documented case of Kytococcus schroeteri causing a PJI.
  • K. schroeteri is part of the micrococcus branch, with limited known pathogenic potential.
  • Few human infections by K. schroeteri have been documented, often linked to implants or immunocompromised patients.

Findings:

  • Kytococcus schroeteri was identified as the causative agent of a periprosthetic joint infection.
  • This represents a novel pathogen in the context of orthopedic implant-related infections.
  • Only three prior reports of osteoarticular infections by this bacterium exist.

Implications:

  • This case expands the spectrum of known pathogens capable of causing PJI.
  • It underscores the need for broader microbiological consideration in recalcitrant joint infections.
  • Further research into K. schroeteri's pathogenicity and clinical significance is warranted.

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