title: Failure of total hip arthroplasty secondary to infection caused by Brucella abortus and the risk of transmission to operative staff.
abstract: Infection of total knee or hip arthroplasty by Brucella species is a rare complication. We describe the case of a failed hip replacement secondary to infection by Brucella abortus, as well as presentation, treatment course, and 2-year follow-up. In addition, we review the literature for features of periprosthetic Brucella species infections, and we describe the common exposures, clinical presentations, preoperative evaluation, and treatments used in the reported cases. Furthermore, we discuss the risk of transmission to operating room personnel and the appropriate preventative measures to avoid transmission.
authors: New Mexico Orthopaedics Center for Joint Replacement, Albuquerque, NM. carothersjt@nmortho.net.
authors: Joshua T
authors: JT
authors: Carothers
authors: Megin C
authors: MC
authors: Nichols
authors: Deborah L
authors: DL
authors: Thompson
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D019072:Antibiotic Prophylaxis; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D002003:Brucella abortus / Q000302:isolation & purification*; D002006:Brucellosis / Q000382:microbiology / Q000628:therapy*; D003646:Debridement; D020878:Device Removal; D004318:Doxycycline / Q000008:administration & dosage; D005260:Female; D006801:Humans; D017758:Infectious Disease Transmission, Patient-to-Professional / Q000517:prevention & control*; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000382:microbiology* / Q000628:therapy*; D012086:Reoperation; D012293:Rifampin / Q000008:administration & dosage; D012306:Risk; D007507:Therapeutic Irrigation
chemical_list: D000900:Anti-Bacterial Agents; D004318:Doxycycline; D012293:Rifampin