Prosthetic hip infection due to .

Simms AJ, Kobayashi T, Schwartzhoff PV, Sekar P. Prosthetic hip infection due to . BMJ case reports. 2022 Mar 10; 15(3).

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Abstract:

A woman in her 60s with?a left hip prosthesis was presented with left hip pain and fever. She had an elevated white blood cell count and inflammatory markers. Synovial fluid Gram stain demonstrated curved Gram-negative rods identified as? The patient initially refused surgery and after 3 months underwent one-stage exchange after which she was treated with 12 weeks of levofloxacin.?Her inflammatory markers normalised and she was clinically doing well at her 6-month follow-up. is a rare cause of prosthetic joint infection and should be included in the differential diagnosis when a patient has risk factors even without significant preceding gastrointestinal symptoms. Per?most recent?Infectious Diseases Society of America guidelines, treatment after one-stage revision includes 4-6 weeks of intravenous antimicrobials followed by possible oral suppression therapy, while the European guidelines recommend 12 weeks of orally bioavailable antibiotics.