Articles | Volume 6, issue 2
https://doi.org/10.5194/jbji-6-33-2020
https://doi.org/10.5194/jbji-6-33-2020
Case report
 | 
04 Sep 2020
Case report |  | 04 Sep 2020

Treatment of Neisseria meningitidis prosthetic joint infections with short-course antibiotics: three cases and a literature review

Sarah Browning, Harry N. Walker, Thomas Ryan, Robert Pickles, Michael Loftus, Jason A. Trubiano, Andrew Hardidge, and Joshua S. Davis

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Cited articles

Anderson, E. J. and Yogev, R.: A Rational Approach to the Management of Ventricular Shunt Infections, Pediatr. Infect. Dis. J., 24, 557–558, https://doi.org/10.1097/01.inf.0000165307.29619.82, 2005. 
Barahona, M., Catalan, J., Sato, Y., and Hinzpeter, J.: Primary meningococcal type C arthritis: a case report and literature review, Case Reports in Orthopedics, 2017, 4696014, https://doi.org/10.1155/2017/4696014, 2017. 
Becerril Carral, B., Alarcón Manoja, E., López Cárdenas, S., and Canueto Quintero, J.: Neisseria meningitidis infecting a prosthetic knee joint: a new case of an unusual disease, Case Reports in Infectious Diseases, 2017, 4545721, https://doi.org/10.1155/2017/4545721, 2017. 
Cabellos, C., Nolla, J., Verdaguer, R., Pelegrin, I., Ribera, A., Ariza, J., and Viladrich, P.: Arthritis related to systemic meningococcal disease: 34 years' experience, Eur. J. Clin. Microbiol., 31, 2661–2666, 2012. 
Lahra, M. M., Enriquez, R. P., and Hogan, T. P.: Australian Meningococcal Surveillance Programme annual report, 2018, Communicable diseases intelligence, 44, 32178605, https://doi.org/10.33321/cdi.2020.44.10, 2020. 
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Short summary
Neisseria meningitidis is a rare cause of prosthetic joint infection (PJI) which we hypothesised could be safely managed with minimal surgical intervention and short-course antibiotics. In contrast to the existing three reported cases, all of which received a minimum of 12 weeks of antibiotics, we present three further cases of late acute haematogenous PJI due to Neisseria meningitidis, demonstrating successful treatment with 6 weeks or less of antimicrobial therapy and implant retention.