Hip & pelvis

The Korean Hip Society (대한고관절학회)
권호 표지
DOI QR코드

DOI QR Code

Stenotrophomonas maltophilia Periprosthetic Joint Infection after Hip Revision Arthroplasty

  • Valentino Latallade (Hip Surgery Unit, Institute of Orthopaedics "Carlos E. Ottolenghi", Italian Hospital of Buenos Aires) ;
  • Carlos Lucero (Hip Surgery Unit, Institute of Orthopaedics "Carlos E. Ottolenghi", Italian Hospital of Buenos Aires) ;
  • Pablo Slullitel (Hip Surgery Unit, Institute of Orthopaedics "Carlos E. Ottolenghi", Italian Hospital of Buenos Aires) ;
  • Martin Buttaro (Hip Surgery Unit, Institute of Orthopaedics "Carlos E. Ottolenghi", Italian Hospital of Buenos Aires)
  • Received : 2022.11.02
  • Accepted : 2023.03.27
  • Published : 2023.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Stenotrophomonas maltophilia, a well-established opportunistic bacterium, primarily impacts healthcare settings. Infection of the musculoskeletal system with this bacterium is rare. We report on the first known case of hip periprosthetic joint infection (PJI) caused by S. maltophilia. The potential for development of a PJI caused by this pathogen should be considered by orthopaedic surgeons, particularly in patients with multiple severe comorbidities.

Keywords

References

  1. Kurtz SM, Lau E, Schmier J, Ong KL, Zhao K, Parvizi J. Infection burden for hip and knee arthroplasty in the United States. J Arthroplasty. 2008;23:984-91. https://doi.org/10.1016/j.arth.2007.10.017
  2. Levy DM, Wetters NG, Levine BR. Prevention of periprosthetic joint infections of the hip and knee. Am J Orthop (Belle Mead NJ). 2016;45:E299-307.
  3. Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007;89:780-5. https://doi.org/10.2106/JBJS.F.00222
  4. Parvizi J, Zmistowski B, Berbari EF, et al. New definition for periprosthetic joint infection: from the Workgroup of the Musculoskeletal Infection Society. Clin Orthop Relat Res. 2011;469:2992-4. https://doi.org/10.1007/s11999-011-2102-9
  5. Downhour NP, Petersen EA, Krueger TS, Tangella KV, Nix DE. Severe cellulitis/myositis caused by Stenotrophomonas maltophilia. Ann Pharmacother. 2002;36:63-6. https://doi.org/10.1345/aph.1A148
  6. Alfonso Olmos M, Silva Gonzalez A, Duart Clemente J, Villas Tome C. Infected vertebroplasty due to uncommon bacteria solved surgically: a rare and threatening life complication of a common procedure: report of a case and a review of the literature. Spine (Phila Pa 1976). 2006;31:E770-3. https://doi.org/10.1097/01.brs.0000240202.91336.99
  7. Hantes ME, Papageorgiou F, Komnos GA. Stenotrophomonas maltophilia periprosthetic joint infection after reverse total shoulder arthroplasty. IDCases. 2020;21:e00796. https://doi.org/10.1016/j.idcr.2020.e00796
  8. Henning S, Teare L. Stenotrophomonas maltophilia infection: an unusual complication of total elbow arthroplasty. JMM Case Rep. 2014;1:e000661. https://doi.org/10.1099/jmmcr.0.000661
  9. Aisenberg G, Rolston KV, Dickey BF, Kontoyiannis DP, Raad II, Safdar A. Stenotrophomonas maltophilia pneumonia in cancer patients without traditional risk factors for infection, 1997-2004. Eur J Clin Microbiol Infect Dis. 2007;26:13-20. https://doi.org/10.1007/s10096-006-0243-7
  10. Tseng CC, Fang WF, Huang KT, et al. Risk factors for mortality in patients with nosocomial Stenotrophomonas maltophilia pneumonia. Infect Control Hosp Epidemiol. 2009;30:1193-202. https://doi.org/10.1086/648455
  11. Adsul NM, Panigrahi V, Acharya S, Kalra KL, Chahal RS. Stenotrophomonas maltophilia spondylodiscitis following lumbar microdiscectomy mimicking a cotton granuloma: a case report and literature review. Surg Neurol Int. 2020;11:28. https://doi.org/10.25259/SNI_23_2020
  12. Senol E, DesJardin J, Stark PC, Barefoot L, Snydman DR. Attributable mortality of Stenotrophomonas maltophilia bacteremia. Clin Infect Dis. 2002;34:1653-6. https://doi.org/10.1086/340707
  13. Chung HS, Hong SG, Lee Y, et al. Antimicrobial susceptibility of Stenotrophomonas maltophilia isolates from a Korean tertiary care hospital. Yonsei Med J. 2012;53:439-41. https://doi.org/10.3349/ymj.2012.53.2.439
  14. Wang WS, Liu CP, Lee CM, Huang FY. Stenotrophomonas maltophilia bacteremia in adults: four years' experience in a medical center in northern Taiwan. J Microbiol Immunol Infect. 2004;37:359-65.
  15. Fiore M, Rondinella C, Paolucci A, Morante L, De Paolis M, Sambri A. Functional outcome after reimplantation in patients treated with and without an antibiotic-loaded cement spacers for hip prosthetic joint infections. Hip Pelvis. 2023;35:32-9. https://doi.org/10.5371/hp.2023.35.1.32
  16. Kim SJ, Cho YJ. Current guideline for diagnosis of periprosthetic joint infection: a review article. Hip Pelvis. 2021;33:11-7. https://doi.org/10.5371/hp.2021.33.1.11