A life-threatening situation due to a spider bite : a non-infectious necrotizing fasciitis.

We present the case of a healthy patient who sustained a spiderbite in the elbow and developed a non-infectious necrotizing fasciitis in the affected limb. Female patient aged 24 pain reported a spiderbite received some 72 h previously in Mexico (the spider was identified as a brown recluse spider-Loxosceles reclusa). Under the suspected diagnosis of necrotizing fasciitis urgent surgery was indicated.

Importance of selection and duration of antibiotic regimen in prosthetic joint infections treated with debridement and implant retention.

Objectives: Early prosthetic joint infections (PJIs) are managed with debridement, implant retention and antibiotics (DAIR). Our aim was to evaluate risk factors for failure after stopping antibiotic treatment.

Methods: From 1999 to 2013, early PJIs managed with DAIR were prospectively collected and retrospectively reviewed.

Assessment of Patients with a DePuy ASR Metal-on-Metal Hip Replacement: Results of Applying the Guidelines of the Spanish Society of Hip Surgery in a Tertiary Referral Hospital.

The prognosis associated with the DePuy ASR hip cup is poor and varies according to the series. This implant was withdrawn from use in 2010 and all patients needed to be assessed. We present the results of the assessment of our patients treated with this device, according to the Spanish Society of Hip Surgery (SECCA) algorithm published in 2011.

Prophylaxis with teicoplanin and cefuroxime reduces the rate of prosthetic joint infection after primary arthroplasty.

The aim of this study was to compare the prosthetic joint infection (PJI) rate after total joint arthroplasty in two consecutive periods of treatment with different antibiotic prophylaxes: cefuroxime versus cefuroxime plus teicoplanin. We retrospectively reviewed 1,896 patients who underwent total hip arthroplasty or total knee arthroplasty between March 2010 and February 2013. From March 2010 to August 2011, patients received 1.

Risk factors for failure in early prosthetic joint infection treated with debridement. Influence of etiology and antibiotic treatment.

Purposes: The aim of the present study was to evaluate the importance of isolated microorganisms according to the Gram stain and the type of antibiotic received on the outcome of early prosthetic joint infection (PJI) treated with debridement, antibiotics and implant retention (DAIR).

Methods: From January 1999 to December 2009, all patients with an early PJI were prospectively registered in a database and they were retrospectively reviewed for this study.

Results: During the study period, 160 patients met the inclusion criteria of the study.

Clinical experience with linezolid for the treatment of orthopaedic implant infections.

Gram-positive cocci are commonly isolated in orthopaedic implant infections and their resistance to β-lactams and fluoroquinolones is increasing. The high oral bioavailability of linezolid makes it an attractive oral alternative to glycopeptides and its use has increased in the last decade. To evaluate experience with linezolid in orthopaedic implant infections a systematic review of the literature available in English was undertaken.

[Psoas abscess associated with hip arthroplasty infection].

Introduction: Psoas abscess associated with hip arthroplasty infection is a rare entity. The aim of this report was to review our experience.

Material And Methods: Patients with computerized tomography (CT) diagnosis of psoas abscess associated with a hip arthroplasty infection from 2004 to 2009 were retrospectively reviewed.

Special issues involving periprosthetic infection in immunodeficiency patients.

Chronic systemic illnesses such as diabetes mellitus, chronic kidney disease (CKD), liver cirrhosis, neoplasia, etc. have been clearly associated with high rates of SWI. However, the exact mechanisms underlying these observations are still under investigation.

Prosthetic joint infections due to Staphylococcus aureus and coagulase-negative staphylococci.

Purposes: To evaluate the specific characteristics, outcome, and predictors of failure of prosthetic joint infections (PJI) due to S. aureus and coagulase-negative staphylococci (CNS) treated with open debridement and retention of the implant.

Methods: PJI due to S.

Decreased serum linezolid concentrations in two patients receiving linezolid and rifampicin due to bone infections.

Methicillin-resistant Staphylococcus is a common cause of orthopaedic implant infections. In such cases, rifampicin is the antibiotic of choice, but it should not be administered alone to avoid the selection of resistant mutants. Linezolid has activity against resistant staphylococci and a high oral bioavailability; therefore, it could be a good option for combining with rifampicin.

Efficacy of debridement in hematogenous and early post-surgical prosthetic joint infections.

Purposes: To review patients with a hematogenous and early post-surgical prosthetic joint infection (PJI) due to S. aureus treated with debridement and retention of the implant and to compare their clinical characteristics and outcome.

Methods: From January 2000 all patients with a prosthetic joint infection treated in a single-center were prospectively registered and followed-up.

Outcome of acute prosthetic joint infections due to gram-negative bacilli treated with open debridement and retention of the prosthesis.

The aim of our study was to evaluate the outcome of acute prosthetic joint infections (PJIs) due to gram-negative bacilli (GNB) treated without implant removal. Patients with an acute PJI due to GNB diagnosed from 2000 to 2007 were prospectively registered. Demographics, comorbidity, type of implant, microbiology data, surgical treatment, antimicrobial therapy, and outcome were recorded.

Timing of antibiotic prophylaxis for primary total knee arthroplasty performed during ischemia.

Background: There is no clinical trial analyzing the best moment to infuse an antibiotic during knee arthroplasty performed during ischemia. We designed a single-center, randomized, double-blind, placebo-controlled trial to evaluate whether antibiotic therapy should be administered before tourniquet inflation or just before tourniquet deflation.

Material And Methods: Patients who underwent a primary knee arthroplasty were randomized to receive (1) 1.

Tuberculous osteomyelitis of the knee: a case report.

Introduction: With the resurge of tuberculosis, due to the pandemic of the human immunodeficiency virus and the increase in the number of immunocompromised patients, osteoarticular tuberculosis has increased too.

Materials And Methods: We report of a 55-year-old patient, with chronic renal failure on haemodialysis, who presented with a painful knee and fever. Culture on Lowënstein-Jensen medium of joint liquid revealed a tuberculous affectation of the proximal tibia.