Arthroplasty infection by Priopionibacterium granulosum treated with reimplantation despite ongoing purulent-appearing fluid collection Journal Article


Authors: Nystrom, L. M.; Wyatt, C. M.; Noiseux, N. O.
Article Title: Arthroplasty infection by Priopionibacterium granulosum treated with reimplantation despite ongoing purulent-appearing fluid collection
Abstract: We present the first case of infection in a native or prosthetic joint by Propionibacterium granulosum in which a patient developed symptoms of prosthetic hip infection 5 years after primary surgery. The patient required multiple operative debridements to eradicate the infection and was successfully reimplanted despite an ongoing purulent-appearing, although sterile, fluid collection at the time of reimplantation. There is no clinical or laboratory evidence of infection at 3 years post-reimplantation, and the patient has a well-functioning total hip arthroplasty. P granulosum is a low-virulence but highly-inflammatory organism. It seems to produce a large fluid collection that may require multiple debridements. To our knowledge, there are no reported cases of native or prosthetic joint infection from P granulosum. We present the first case here.
Keywords: Aged; Humans; Male; Reoperation; Arthroplasty, Replacement, Hip; Gram-Positive Bacterial Infections/etiology/therapy; Propionibacterium; Prosthesis-Related Infections/microbiology/therapy
Journal Title: The Journal of arthroplasty
Volume: 28
Issue: 1
ISSN: 1532-8406; 0883-5403
Publisher: Elsevier Inc  
Journal Place: United States
Date Published: 2013
Start Page: 198.e5
End Page: 198.e8
Language: eng
DOI/URL:
Notes: CI: Copyright (c) 2013; JID: 8703515; 2011/09/24 [received]; 2012/03/05 [accepted]; 2012/04/30 [aheadofprint]; ppublish