Prosthetic joint infections secondary to rapidly growing mycobacteria: Two case reports and a review of the literature

Infect Dis (Lond). 2016;48(6):453-60. doi: 10.3109/23744235.2016.1142673. Epub 2016 Feb 23.

Abstract

Rapidly growing mycobacteria (RGM) are a rare but treatable cause of prosthetic joint infections. This study reports on two patients comprising three prosthetic joint infections caused by RGM successfully treated at the institution. With removal of the infected prosthetic joint and judicious use of prolonged courses of antibiotics, patients with prosthetic joint infections secondary to RGM can both be cured and retain function of the affected joint. In addition, this study identified 40 additional cases reported during an extensive review of the literature and provide a summary of these cases. These infections can present within days of arthroplasty or can develop only decades after the index surgery. The clinical presentations often mimic those of more routine bacterial prosthetic joint infections.

Keywords: Rapidly growing mycobacteria; arthroplasty; prosthetic joint infections.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Arthroplasty
  • Female
  • Hip Prosthesis / microbiology
  • Humans
  • Joint Prosthesis / microbiology*
  • Knee Joint / surgery
  • Knee Prosthesis / microbiology
  • Male
  • Middle Aged
  • Mycobacterium
  • Mycobacterium Infections, Nontuberculous / drug therapy
  • Mycobacterium Infections, Nontuberculous / microbiology*
  • Mycobacterium Infections, Nontuberculous / therapy*
  • Nontuberculous Mycobacteria / isolation & purification*
  • Pelvic Bones / surgery
  • Prosthesis-Related Infections / drug therapy
  • Prosthesis-Related Infections / microbiology
  • Prosthesis-Related Infections / therapy*

Substances

  • Anti-Bacterial Agents