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Boukthir S, Common H, Arvieux C, Cattoir V, Patrat-Delon S, Jolivet-Gougeon A. A recurrent prosthetic joint infection caused by Erysipelothrix rhusiopathiae: case report and literature review. J Med Microbiol 2022; 71. [PMID: 36094891 DOI: 10.1099/jmm.0.001580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Prosthetic knee joint infection caused by Erysipelothrix rhusiopathiae is uncommon and only one case of recurrent infection has previously been described. Here, we describe the case of a 77-year-old male patient who was admitted to the teaching hospital of Rennes (France) with bilateral and nocturnal gonalgia evolving for 1 month. He had bilateral knee prosthesis 10 years ago, and a history of large B-cell lymphoma in remission. A diagnosis of infective endocarditis, with prosthetic knee infection, was made, with positive cultures of synovial fluids and blood; colonies of E. rhusiopathiae were identified by MALDI-TOF MS. Initial treatment involved debridement, implant retention surgery and intravenous amoxicillin (12 g day-1) for 6 weeks with gentamicin 3 mg kg-1 day-1 added for the first 4 days. One year later, a second episode of E. rhusiopathiae infection occurred, suggesting a recurrence or reinfection due to the same bacterial species. The patient was finally cured after a two-stage exchange with a cemented articulated spacer and a 3 month course of amoxicillin (12 g day-1, iv). Different characteristics of E. rhusiopathiae infection were discussed, with a review of all cases of prosthetic joint infections caused by Erysipelothrix species. This case highlights the need for a long-term survey of patients, and a good knowledge of their environment to avoid any risk of reinfection.
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Affiliation(s)
- Sarrah Boukthir
- Bacteriology and Hygiene Department, Teaching Hospital of Rennes, 2 rue Henri-Le-Guilloux, 35033 Rennes, France
| | - Harold Common
- CRIOGO Great West Reference Centers for Complex Bone and Joint Infections (CRIOGO), Rennes, France.,Department of Orthopedic Surgery and Traumatology, Teaching Hospital of Rennes, 2 rue Henri-Le-Guilloux, 11 35033 Rennes, France
| | - Cédric Arvieux
- CRIOGO Great West Reference Centers for Complex Bone and Joint Infections (CRIOGO), Rennes, France.,Teaching Hospital of Rennes, Department of Infectious Diseases and Intensive Care Medicine, Rennes University Hospital, 2, rue Henri-Le-Guilloux, 35033 Rennes, France
| | - Vincent Cattoir
- Bacteriology and Hygiene Department, Teaching Hospital of Rennes, 2 rue Henri-Le-Guilloux, 35033 Rennes, France.,CRIOGO Great West Reference Centers for Complex Bone and Joint Infections (CRIOGO), Rennes, France.,Inserm U1230 BMR, University of Rennes 1, Rennes, France
| | - Solène Patrat-Delon
- CRIOGO Great West Reference Centers for Complex Bone and Joint Infections (CRIOGO), Rennes, France.,Teaching Hospital of Rennes, Department of Infectious Diseases and Intensive Care Medicine, Rennes University Hospital, 2, rue Henri-Le-Guilloux, 35033 Rennes, France
| | - Anne Jolivet-Gougeon
- Bacteriology and Hygiene Department, Teaching Hospital of Rennes, 2 rue Henri-Le-Guilloux, 35033 Rennes, France.,CRIOGO Great West Reference Centers for Complex Bone and Joint Infections (CRIOGO), Rennes, France.,Univ Rennes, INSERM, INRAE, CHU Rennes, Institut NUMECAN (Nutrition Metabolisms and Cancer), U1241 Microbiology, F-35000 Rennes, France
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Rostamian M, Rahmati D, Akya A. Clinical manifestations, associated diseases, diagnosis, and treatment of human infections caused by Erysipelothrix rhusiopathiae: a systematic review. Germs 2022; 12:16-31. [PMID: 35601944 PMCID: PMC9113682 DOI: 10.18683/germs.2022.1303] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Revised: 12/05/2021] [Accepted: 01/07/2022] [Indexed: 10/29/2023]
Abstract
INTRODUCTION Erysipelothrix rhusiopathiae is a bacillus that can cause cutaneous and systemic diseases in humans. Studies on the infection caused by this bacterium have been mostly done as case reports. This study aimed to systematically review E. rhusiopathiae infection cases published over the last 20 years. METHODS Science Direct, PubMed, Scopus, Google Scholar, and Web of Science were searched using appropriate keywords to find relevant studies. After assessment of the studies, 57 case reports which surveyed 62 patients were included and their data were collected and analyzed. RESULTS The majority of cases were adult men living in high-income countries with an animal-related job and/or a history of animal contacts. The number of cases has increased in recent years. The main underlying diseases that were associated with E. rhusiopathiae infections include hypertension, diabetes, and alcoholism. The most frequent presentations were fever, pain, local skin lesions, and heart failure/endocarditis. Two patients died, while 60 patients were recovered following antibiotic therapy, mainly with penicillin and ceftriaxone. CONCLUSIONS Altogether, the results indicated that E. rhusiopathiae usually infects people who come into contact with animals and causes mild to severe local or systemic infections, especially in those who have underlying diseases. Therefore, accurate and early diagnosis of E. rhusiopathiae infections by setting up appropriate laboratory tests is required.
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Affiliation(s)
- Mosayeb Rostamian
- PhD, Infectious Diseases Research Center, Health Institute, Kermanshah University of Medical Sciences, Imam Reza Hospital, Parastar Blvd, Kermanshah, postal code 6714415333, Iran
| | - Donya Rahmati
- MD, Department of Microbiology, Faculty of Medicine, Kermanshah University of Medical Sciences, Shahid Shiroudi Blvd, Kermanshah, postal code 6714869914, Iran
| | - Alisha Akya
- PhD, Infectious Diseases Research Center, Health Institute, Kermanshah University of Medical Sciences, Imam Reza Hospital, Parastar Blvd, Kermanshah, postal code 6714415333, Iran
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