Two-stage Revision for Salmonella-infected Total Hip Replacement, Complicated by a Periprosthetic Fracture.

INTRODUCTION

Salmonella-infected prosthetic joint infection is rare. We report a patient who developed an infected total hip replacement with Salmonella Typhimurium.

CASE REPORT

A 65-year-old patient presented with atraumatic groin pain and raised inflammatory markers following gastroenteritis. After a decade of conservative management using suppression antibiotics, she underwent a two-stage revision. Her case was further complicated as she fell before her second-stage sustaining a Vancouver C periprosthetic fracture. Once her infection cleared, a complex second-stage revision was performed using components to include reconstruction of the acetabulum with trabecular metal augments and buttresses, a trabecular metal acetabular revision system component and an endoprosthetic replacement of the upper two-thirds of the femur. Approximately 12 months on, the patient is now mobilizing, pain free.

CONCLUSION

This case emphasizes the need for a good diagnostic work-up and management process, surgical planning and technique, and highlights the importance of a multidisciplinary team involvement in improving outcomes for patients.