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CC BY-NC-ND 4.0 · J Lab Physicians 2017; 9(03): 217-219
DOI: 10.4103/0974-2727.208254
Case Report

Salmonella typhimurium infection in total knee arthroplasty: A case report with review of literature

Sujeesh Sebastian
Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India
,
Benu Dhawan
Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India
,
Rajesh Malhotra
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India
,
Deepak Gautam
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India
,
Arti Kapil
Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India
› Institutsangaben
Financial support and sponsorship Nil.
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Abstract

Salmonella enterica serotype Typhimurium is a rare cause of prosthetic joint infection (PJI). The recognized predisposing risk factors for Salmonella septic arthritis include diabetes mellitus, renal failure, human immunodeficiency virus infection and chronic corticosteroid use. We describe a case of PJI of the knee in a 74-year-old lady who was on antitubercular treatment. The patient presented with discharging sinus and raised inflammatory markers. She was successfully treated by the removal of prosthesis and debridement followed by ciprofloxacin therapy for 6 weeks. This case report highlights the potential virulence of Salmonella in immunocompromised patient with a joint prosthesis. Continuous monitoring and close collaboration of microbiologists and orthopedicians helped obtain the resolution of infection in our patient.

Key words

Debridement - immunocompromised - nontyphoidal Salmonella - prosthetic joint infection


Publikationsverlauf

Eingereicht: 29. September 2016

Angenommen: 25. Dezember 2016

Artikel online veröffentlicht:
19. Februar 2020

© 2017.

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

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