Abstract
Infection of total knee or hip arthroplasty by Brucella species is a rare complication. We describe the case of a failed hip replacement secondary to infection by Brucella abortus, as well as presentation, treatment course, and 2-year follow-up. In addition, we review the literature for features of periprosthetic Brucella species infections, and we describe the common exposures, clinical presentations, preoperative evaluation, and treatments used in the reported cases. Furthermore, we discuss the risk of transmission to operating room personnel and the appropriate preventative measures to avoid transmission.
MeSH terms
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Aged
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Anti-Bacterial Agents / administration & dosage
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Antibiotic Prophylaxis
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Arthroplasty, Replacement, Hip / adverse effects*
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Brucella abortus / isolation & purification*
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Brucellosis / microbiology
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Brucellosis / therapy*
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Debridement
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Device Removal
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Doxycycline / administration & dosage
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Female
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Humans
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Infectious Disease Transmission, Patient-to-Professional / prevention & control*
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Prosthesis-Related Infections / etiology
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Prosthesis-Related Infections / microbiology*
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Prosthesis-Related Infections / therapy*
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Reoperation
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Rifampin / administration & dosage
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Risk
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Therapeutic Irrigation
Substances
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Anti-Bacterial Agents
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Doxycycline
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Rifampin