title: Animal-associated bacteria, Erysipelotrix rhusiopathiae, as the cause of infection in a total hip arthroplasty.
abstract: Invasive infection with animal-associated bacteria, Erysipelotrix rhusiopathiae, is unusual and has, to our knowledge, never been described as the cause of infected total hip arthroplasty. We describe how an infected total hip arthroplasty caused by these bacteria is eradicated using standard surgical and antibiotic treatment. Before 2-stage revision surgery, the patient had persistent groin pain, elevated C-reactive protein, radiographic periprosthetic osteolysis, excessive intra-articular fluid, and periprosthetic activity accumulation on the white cell scan. The patient was treated with benzylpenicillin after confirmed sensitivity of E rhusiopathiae diagnosed by culture of five tissue samples and polymerase chain reaction of the prosthetic sonicate sample. Sixteen weeks after the last stage of revision surgery, there were no signs of reoccurring infection.
authors.affiliation: Orthopaedic Research Unit, University Hospital of Aarhus, Denmark.
authors.forename: Andres
authors.initials: A
authors.lastname: Troelsen
authors.forename: Jens K
authors.initials: JK
authors.lastname: Møller
authors.forename: Lars
authors.initials: L
authors.lastname: Bolvig
authors.forename: Thomas
authors.initials: T
authors.lastname: Prynø
authors.forename: Lisbeth N
authors.initials: LN
authors.lastname: Pedersen
authors.forename: Kjeld
authors.initials: K
authors.lastname: Søballe
mesh_terms: D000368:Aged; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019644:Arthroplasty, Replacement, Hip; D004888:Erysipelothrix; D004889:Erysipelothrix Infections / Q000150:complications* / Q000188:drug therapy; D005260:Female; D006622:Hip Prosthesis / Q000382:microbiology*; D006801:Humans; D015207:Osteoarthritis, Hip / Q000601:surgery; D016459:Prosthesis-Related Infections / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D012086:Reoperation / Q000379:methods; D055502:Secondary Prevention; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents