Salmonella prosthetic joint septic arthritis.
We describe a case of Salmonella enteritidis infection of a prosthetic knee joint that was cured with ceftriaxone therapy for 6 weeks and replacement of the tibial component of the prosthesis. Eleven other cases of salmonella prosthetic joint infection have been reported in the English-language literature. Five infections occurred within 20 days of prosthesis placement, and seven occurred several months to years later; ten of 12 infections involved hip prostheses. Nine of 12 patients who had prosthesis removal were cured of the infection. Two of the three patients with retention of the prosthesis required long-term suppressive antibiotic therapy.
Division of Infectious Diseases, Department of Internal Medicine, Ann Arbor Veterans Affairs Health System, University of Michigan Medical School, 2215 Fuller Road, Ann Arbor, MI 48105, USA.
L J
LJ
Day
Q J
QJ
Qayyum
C A
CA
Kauffman
D001168:Arthritis / Q000382:microbiology*; D006622:Hip Prosthesis / Q000382:microbiology; D006801:Humans; D007720:Knee Prosthesis / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D012480:Salmonella Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D012477:Salmonella enteritidis / Q000302:isolation & purification*; D018805:Sepsis / Q000382:microbiology