Infection following shoulder arthroplasty caused by Cutibacterium avi-dum:a case report and literature review
10.12138/j.issn.1671-9638.20244420
- VernacularTitle:贪婪皮肤杆菌致人工肩关节置换术后感染1例并文献复习
- Author:
Qing-Xin GUO
1
;
Hui-Yi ZENG
;
Chao-Long GUO
;
Zhi-Yong ZHUANG
;
Jin-Hua GUO
;
Li-Long CAI
;
Bing-Zuan LI
Author Information
1. 泉州市正骨医院检验科,福建 泉州 362000
- Keywords:
Cutibacterium avidum;
Propionibacterium avidum;
artificial joint infection;
shoulder arthroplasty
- From:
Chinese Journal of Infection Control
2024;23(2):231-237
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical characteristics and treatment scheme of periprosthetic joint infection(PJI)caused by Cutibacterium avidum(C.avidum).Methods The diagnosis and treatment process of a patient with PJI caused by C.avidum was summarized,and relevant literatures in the database were retrieved for review.Results A 65-year-old female patient with body mass index(BMI)of 31.1 kg/m2 underwent left humeral head prosthesis replacement surgery following a left proximal humerus fracture.Ten months after the surgery,the pa-tient exhibited poor wound healing and oozing,along with limited movement of the left shoulder joint,and was diag-nosed infection following shoulder arthroplasty.Patient underwent debridement of the infected lesion and removal of the prosthesis.The tissue,bone cement and prosthesis were cultured for C.avidum.Four literatures were re-trieved and screened,a total of 30 patients with PJI(28 cases hip joint infection and 2 cases shoulder joint infection)caused by C.avidum were reported through literature retrieval,and 78.6%(n=22)total hip arthroplasty(THA)surgeries were performed using direct anterior approach(DAA).The positive rate of preoperative joint fluid culture was 71.4%,29 cases underwent surgical combined with sensitive antimicrobials treatment.Except for one patient who had repeated infection and underwent three surgeries,other patients had a good prognosis.Conclusion PJI caused by C.avidum is mostly seen in THA patients who are obese and undergo DAA,with a few cases reported after shoulder arthroplasty.The high sensitivity of preoperative joint fluid culture provides an important basis for the development of surgical strategies and anti-infection protocols.