AI Article Synopsis
- Periprosthetic joint infection (PJI) caused by Brucella spp. is uncommon, and the text discusses a case in a 75-year-old man, along with 29 other cases from literature.
- Diagnosing Brucella PJI is difficult, especially in countries where it is not common; serological testing before performing joint procedures is recommended.
- Treatment lacks a standardized approach regarding surgery and antibiotic duration, but most cases show positive outcomes with a 12-week or longer combination antibiotic regimen.
Article Abstract
Periprosthetic joint infection (PJI) due to spp. is rare. We report a case in a 75-year-old man and review 29 additional cases identified in a literature search. The diagnosis of Brucella PJI is challenging, in particular in non-endemic countries. Serological tests prior to joint aspiration or surgical intervention are reasonable. Involvement of infection control and timely information to laboratory personnel is mandatory upon diagnosis. There is no uniform treatment concept, neither with respect to surgical intervention nor for the duration of antimicrobials. Most cases have a successful outcome, irrespective of surgical modality, and with an antimicrobial combination regimen for 12 or more weeks.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5441145 | PMC |
| http://dx.doi.org/10.7150/jbji.18408 | DOI Listing |
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