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Journal of Bone and Joint Infection An open-access journal of the European Bone and Joint Infection Society and the MusculoSkeletal Infection Society
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Volume 2, issue 3
J. Bone Joint Infect., 2, 136–142, 2017
https://doi.org/10.7150/jbji.18408
© Author(s) 2017. This work is distributed under
the Creative Commons Attribution 4.0 License.
J. Bone Joint Infect., 2, 136–142, 2017
https://doi.org/10.7150/jbji.18408
© Author(s) 2017. This work is distributed under
the Creative Commons Attribution 4.0 License.

Brief report 05 Apr 2017

Brief report | 05 Apr 2017

Brucella melitensis prosthetic joint infection

Domenica Flury1, Henrik Behrend2, Parham Sendi3, Matthias von Kietzell1, and Carol Strahm1 Domenica Flury et al.
  • 1Department of Infectious Diseases, Cantonal Hospital of St. Gallen, St. Gallen;
  • 2Department of Orthopaedics and Traumatology, Cantonal Hospital of St. Gallen, St. Gallen;
  • 3Department of Infectious Diseases, Bern University Hospital, University of Bern, Bern, Switzerland.

Keywords: Brucella, Periprosthetic joint infection

Abstract. Periprosthetic joint infection (PJI) due to Brucella spp. is rare. We report a case in a 75-year-old man and review 29 additional cases identified in a literature search. The diagnosis of Brucella PJI is challenging, in particular in non-endemic countries. Serological tests prior to joint aspiration or surgical intervention are reasonable. Involvement of infection control and timely information to laboratory personnel is mandatory upon diagnosis. There is no uniform treatment concept, neither with respect to surgical intervention nor for the duration of antimicrobials. Most cases have a successful outcome, irrespective of surgical modality, and with an antimicrobial combination regimen for 12 or more weeks.

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