Teriparatide: an unexpected adjunct for the treatment of a long-standing infected elbow prosthesis prevented arm amputation.
A 76-year-old woman with rheumatoid arthritis, osteoporosis and multiple comorbidities presented with septic left elbow prosthesis. Treatment included combination antibiotic therapy and removal of the prosthesis. Weeks later she was started on teriparatide. Her elbow symptoms resolved. In our experience, this is the first case in the literature reporting teriparatide efficacy in the treatment of septic arthritis.
Department of Rheumatology, University College London Hospitals NHS Trust, 3rd Floor Central, 250 Euston Road, London, NW1 2PG, UK.
Maria
M
Mouyis
Halina
H
Fitz-Clarence
Jessica
J
Manson
Coziana
C
Ciurtin
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000150:complications; D004551:Elbow Joint / Q000601:surgery*; D058569:Elbow Prosthesis / Q000009:adverse effects*; D005260:Female; D006801:Humans; D010024:Osteoporosis / Q000150:complications / Q000188:drug therapy; D011475:Prosthesis Failure; D018805:Sepsis / Q000188:drug therapy / Q000209:etiology; D019379:Teriparatide / Q000008:administration & dosage* / Q000627:therapeutic use; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D019379:Teriparatide