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Francisella tularensis Periprosthetic Joint Infections Diagnosed with Growth in Cultures
A. Chrdle, T. Trnka, D. Musil, SF. Fucentese, P. Bode, PM. Keller, Y. Achermann,
Jazyk angličtina Země Spojené státy americké
Typ dokumentu kazuistiky, časopisecké články, přehledy
NLK
Free Medical Journals
od 1975 do Před 6 měsíci
Freely Accessible Science Journals
od 1995 do Před 6 měsíci
PubMed Central
od 1975 do Před 1 rokem
Europe PubMed Central
od 1975 do Před 6 měsíci
Open Access Digital Library
od 1975-01-01
Open Access Digital Library
od 1975-01-01
PubMed
31189580
DOI
10.1128/jcm.00339-19
Knihovny.cz E-zdroje
- MeSH
- antibakteriální látky terapeutické užití MeSH
- bakteriologické techniky MeSH
- Francisella tularensis MeSH
- infekce spojené s protézou diagnóza farmakoterapie mikrobiologie MeSH
- kolenní kloub účinky léků mikrobiologie MeSH
- lidé MeSH
- protilátky bakteriální krev MeSH
- retrospektivní studie MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- synoviální tekutina mikrobiologie MeSH
- tularemie komplikace diagnóza farmakoterapie MeSH
- výsledek terapie MeSH
- zoonózy diagnóza farmakoterapie mikrobiologie MeSH
- zvířata MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- přehledy MeSH
Tularemia caused by Francisella tularensis is a zoonotic infection of the Northern Hemisphere that mainly affects the skin, lymph nodes, bloodstream, and lungs. Other manifestations of tularemia are very rare, especially those with musculoskeletal involvement. Presenting in 2016, we diagnosed two cases of periprosthetic knee joint infections (PJI) caused by Francisella tularensis in Europe (one in Switzerland and one in the Czech Republic). We found only two other PJI cases in the literature, another knee PJI diagnosed 1999 in Ontario, Canada, and one hip PJI in Illinois, USA, in 2017. Diagnosis was made in all cases by positive microbiological cultures after 3, 4, 7, and 12 days. All were successfully treated, two cases by exchange of the prosthesis, one with debridement and retention, and one with repeated aspiration of the synovial fluid only. Antibiotic treatment was given between 3 weeks and 12 months with either ciprofloxacin-rifampin or with doxycycline alone or doxycycline in combination with gentamicin. Zoonotic infections should be considered in periprosthetic infections in particular in culture-negative PJIs with a positive histology or highly elevated leukocyte levels in synovial aspiration. Here, we recommend prolonging cultivation time up to 14 days, performing specific PCR tests, and/or conducting epidemiologically appropriate serological tests for zoonotic infections, including that for F. tularensis.
Department of Orthopaedics Balgrist University Hospital University of Zurich Zurich Switzerland
Department of Orthopedic Surgery České Budějovice Hospital České Budějovice Czech Republic
Institute of Medical Microbiology University of Zurich Zurich Switzerland
Institute of Pathology University Hospital Zurich University of Zurich Zurich Switzerland
Citace poskytuje Crossref.org
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- $a Tularemia caused by Francisella tularensis is a zoonotic infection of the Northern Hemisphere that mainly affects the skin, lymph nodes, bloodstream, and lungs. Other manifestations of tularemia are very rare, especially those with musculoskeletal involvement. Presenting in 2016, we diagnosed two cases of periprosthetic knee joint infections (PJI) caused by Francisella tularensis in Europe (one in Switzerland and one in the Czech Republic). We found only two other PJI cases in the literature, another knee PJI diagnosed 1999 in Ontario, Canada, and one hip PJI in Illinois, USA, in 2017. Diagnosis was made in all cases by positive microbiological cultures after 3, 4, 7, and 12 days. All were successfully treated, two cases by exchange of the prosthesis, one with debridement and retention, and one with repeated aspiration of the synovial fluid only. Antibiotic treatment was given between 3 weeks and 12 months with either ciprofloxacin-rifampin or with doxycycline alone or doxycycline in combination with gentamicin. Zoonotic infections should be considered in periprosthetic infections in particular in culture-negative PJIs with a positive histology or highly elevated leukocyte levels in synovial aspiration. Here, we recommend prolonging cultivation time up to 14 days, performing specific PCR tests, and/or conducting epidemiologically appropriate serological tests for zoonotic infections, including that for F. tularensis.
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