Hematogenous infection of total hip arthroplasty due to clostridium perfringens: a case report
10.3760/cma.j.issn.0253-2352.2019.17.007
- VernacularTitle: 产气荚膜杆菌致髋关节置换术后血源性感染一例报告
- Author:
Changjiao SUN
1
;
Ligong FU
;
Ruiyong DU
;
Pu LIU
;
Sha WU
;
Wei ZHANG
;
Xu CAI
Author Information
1. Department of Orthopaedics, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing 102218, China
- Publication Type:Case Reports
- From:
Chinese Journal of Orthopaedics
2019;39(17):1083-1086
- CountryChina
- Language:Chinese
-
Abstract:
A case report of periprosthetic hip clostridium perfringens infection 13 years after total hip arthroplasty, the patient had hip pain with fever for one week. Physical examination and imaging examination confirmed the periprosthetic joint infection. The pathogenic bacterium was clostridium perfringens according to bacterial culture, and the pathogenic bacterium of clostridium perfringens was suspected relating to the gallbladder disease in this patient. Considering such periprosthetic joint infection was early stage hematogenous periprosthetic joint infection, treatment of debridement, retention of the prosthesis, irrigating, and indwelling drainage tube were conducted. By reviewing literature about periprosthetic clostridium perfringens infection, only seven reports of periprosthetic joint infection were caused by clostridium perfringens, which were all case reports. From the previous case reports and our case, we found that the infection around the prosthesis caused by clostridium perfringens was limited to the area around the joint, and prognosis of such cases may not be as severe as the natural gas gangrene which developed very rapidly, but great attention should be paid to. The hematogenous periprosthetic joint infection caused by clostridium perfringens who had gastrointestinal symptoms in the early stage should be highly suspicious of gallbladder lesions and thorough debridement, retention of the prosthesis, irrigating and indwelling drainage tube maybe a treatment method.
