Open Access Highly Accessed Case report

Successful treatment of late Salmonella infections in total hip replacement - report of two cases

Kálmán Tóth1*, Gábor Janositz2, Gyula Kovács2, Krisztián Sisák1* and Ervin Rudner3

Author Affiliations

1 Department of Orthopaedics, University of Szeged, 6 Semmelweis Street, Szeged, 6720, Hungary

2 Department of Orthopaedics, County Hospital of Kecskemét, 39 Nyíri Road, Kecskemét, 6000, Hungary

3 Department of Orthopaedics, County Hospital of Szolnok, 21 Tószegi Street, Szolnok, 5004, Hungary

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BMC Infectious Diseases 2010, 10:160  doi:10.1186/1471-2334-10-160

Published: 8 June 2010

Abstract

Background

Salmonella species can be rarely isolated from periprosthetic joint infections, however when present, are usually part of a severe septic clinical picture.

Case presentations

Two patients presented with late infected hip replacements to our institution. The first patient with multiple comorbidities had a confirmed Salmonella Enteridis infection with an abscess in the groin, with loosening of both components. He underwent a successful one stage cemented revision hip replacement, followed by 6 weeks of antibiotic therapy (ciprofloxacin). He had no recurrence or complications. The second patient was admitted in a septic condition with ARDS to the Intensive Care Unit 7 years following an uncemented total hip replacement. From an ultrasound guided hip aspirate Salmonella cholerae-suis was isolated. He underwent a successful a two-stage revision hip replacement.

Conclusions

Successful treatment of such potentially life threatening infections is achievable using modern orthopaedic techniques and close collaboration with the infectious diseases specialists.