Casado-Castillo F, Kobayashi T, Sekar P, Streit J, Molano De Pena I. Prosthetic hip infection due to
Salmonella enterica serovar Enteritidis.
IDCases 2021;
25:e01170. [PMID:
34094868 PMCID:
PMC8167264 DOI:
10.1016/j.idcr.2021.e01170]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 05/20/2021] [Accepted: 05/21/2021] [Indexed: 11/06/2022] Open
Abstract
Prosthetic joint infection (PJI) due to Salmonella spp. is uncommon, with an estimated prevalence of <0.3 % of all PJI.
Salmonella enterica serovar Enteritidis and Salmonella enterica serovar Typhimurium are the most common isolates causing PJI.
Risk factors include malignancy, hemoglobinopathies, diabetes mellitus, HIV/AIDS, alcohol dependency and immunosuppressed state.
PJI due to Salmonella spp. can occur without significant preceding gastrointestinal symptoms of infection.
Prosthetic joint infection (PJI) is a serious complication of prosthetic joint implantation with a prevalence of about 1–2 % of all prosthetic joint surgeries. While Staphylococcus spp. are the most common organisms isolated, Salmonella spp. are a rare cause of PJI (estimated prevalence < 0.3 %). We present a case of a 62-year-old patient with a history of previous joint trauma complicated by osteonecrosis, infection and chronic alcohol abuse with late hematogenous prosthetic hip infection due to Salmonella enterica serovar Enteritidis. PJI due to Salmonella spp. should be considered in the differential diagnosis when a patient has risk factors such as malignancy, hemoglobinopathies, diabetes mellitus, human immunodeficiency virus/acquired immunodeficiency syndrome, alcohol dependency or immunosuppressed state, even without significant preceding gastrointestinal symptoms. Our patient had a few of these risk factors and required surgical debridement in addition to antimicrobials for treatment of his PJI.
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