Articles | Volume 9, issue 1
https://doi.org/10.5194/jbji-9-99-2024
https://doi.org/10.5194/jbji-9-99-2024
Original full-length article
 | 
29 Feb 2024
Original full-length article |  | 29 Feb 2024

Characteristics and management of periprosthetic joint infections caused by rapidly growing mycobacteria: a retrospective study and a review of the literature

Pansachee Damronglerd, Eibhlin Higgins, Madiha Fida, Don Bambino Geno Tai, Aaron J. Tande, Matthew P. Abdel, and Omar M. Abu Saleh

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Cited articles

Ando, J., Miyata, R., Harada, M., Takeuchi, M., Kasahara, K., Yoshimoto, Y., Koyama, F., and Kuwahara, M.: A Ventral Hernia-repair-related Mycobacterium mageritense Mesh Infection Treated with NPWT without Mesh Removal, Plast. Reconstr. Surg. Glob. Open, 9, e3799, https://doi.org/10.1097/GOX.0000000000003799, 2021. 
Badelon, O., David, H., Meyer, L., Radault, A., and Zucman, J.: [Mycobacterium fortuitum infection after total hip prosthesis. A report of 3 cases (author's transl.)], Rev. Chir. Orthop. Reparatrice. Appar. Mot., 65, 39–43, 1979. 
Brown-Elliott, B. A. and Wallace Jr., R. J.: Clinical and taxonomic status of pathogenic nonpigmented or late-pigmenting rapidly growing mycobacteria, Clin. Microbiol. Rev., 15, 716–746, https://doi.org/10.1128/CMR.15.4.716-746.2002, 2002. 
Caravedo Martinez, M. A. and Blanton, L. S.: Mycobacterium mageritense Prosthetic Joint Infection, Case Rep. Infect. Dis., 2020, 8845430, https://doi.org/10.1155/2020/8845430, 2020. 
Cariello, P. F., Kwak, E. J., Abdel-Massih, R. C., and Silveira, F. P.: Safety and tolerability of clofazimine as salvage therapy for atypical mycobacterial infection in solid organ transplant recipients, Transpl. Infect. Dis., 17, 111–118, https://doi.org/10.1111/tid.12340, 2015. 
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Short summary
This work investigates periprosthetic joint infection (PJI) caused by rapidly growing mycobacteria (RGM) following total joint arthroplasty. Eight patients were identified as part of a retrospective review. The isolated RGM species included Mycobacterium abscessus  (three cases), M. fortuitum (three cases), and one case each of M. immunogenum and M. mageritense. We provide novel insights into the successful treatment of PJIs caused by newly identified RGM (M. immunogenum and M. mageritense).