Ghaffar Ali, Hussain Malik Hatim, Mohan Rama
Orthopaedics and Trauma, East Lancashire NHS Hospitals, Blackburn, GBR.
Trauma and Orthopaedics, North Manchester Hospital, Manchester, GBR.
Cureus. 2020 Jun 9;12(6):e8519. doi: 10.7759/cureus.8519.
We present a case of a 79-year-old male with a Salmonella enteritidis prosthetic knee joint infection preceded by an episode of profuse diarrhea. The infection was treated with ceftriaxone antibacterial chemotherapy, and an arthroscopic knee joint washout. The initial treatment failed to eradicate the Salmonella infection. A second open washout procedure with the replacement of knee joint insert was performed along with the addition of ciprofloxacin to the ongoing ceftriaxone which eventually eradicated the infection. Although S. enteritidis is a very rare cause of prosthetic knee infection, suspicion of Salmonella as a potential causative agent should be borne in mind particularly if the onset of the symptoms is preceded by gastrointestinal manifestations.
我们报告一例79岁男性，在出现大量腹泻后发生肠炎沙门氏菌人工膝关节感染。感染采用头孢曲松抗菌化疗及关节镜下膝关节冲洗治疗。初始治疗未能根除沙门氏菌感染。随后进行了第二次开放性冲洗手术并更换膝关节植入物，同时在持续使用的头孢曲松基础上加用环丙沙星，最终根除了感染。尽管肠炎沙门氏菌是人工膝关节感染非常罕见的病因，但如果症状发作前有胃肠道表现，应特别考虑沙门氏菌作为潜在病原体的可能性。
