Clostridium cadaveris septic arthritis after total hip arthroplasty in a metastatic breast cancer patient.
We report the first known case of septic arthritis in the setting of total hip arthroplasty caused by Clostridium cadaveris, a gas-forming anaerobic enteric organism usually considered a non-pathogen. This case occurred in a patient treated with total hip arthroplasty for metastatic breast cancer involving the acetabulum. The patient was managed successfully with debridement, prosthetic retention, and chronic antibiotic suppression. We propose this mode of care as a successful alternative for some patients with prosthetic joint infection and prohibitive comorbid conditions.
Morshed
Saam
S
Department of Orthopaedic Surgery, Orthopaedic Oncology Service, UCSF Comprehensive Cancer Center, San Francisco, California 94115, USA.
Malek
Farbod
F
Silverstein
Robert M
RM
O'Donnell
Richard J
RJ
D000077:Acetabulum / Q000473:pathology* / Q000601:surgery*; D000890:Anti-Infective Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000382:microbiology* / Q000628:therapy*; D019644:Arthroplasty, Replacement, Hip; D001859:Bone Neoplasms / Q000556:secondary* / Q000601:surgery*; D001943:Breast Neoplasms / Q000473:pathology*; D003015:Clostridium Infections / Q000382:microbiology / Q000628:therapy*; D003646:Debridement; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged
D000890:Anti-Infective Agents