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Case Reports
. 2009 Fall;20(3):e94-6.
doi: 10.1155/2009/968052.

Successful treatment of a prosthetic joint infection due to Mycobacterium abscessus

Andrew Petrosoniak  1 , Paul Kim, Marc Desjardins, B Craig Lee
Affiliations
Case Reports

Successful treatment of a prosthetic joint infection due to Mycobacterium abscessus

Andrew Petrosoniak et al. Can J Infect Dis Med Microbiol. 2009 Fall.

Abstract
in English, French

Prosthetic joint infection due to Mycobacterium abscessus is uncommon and optimal therapy remains poorly defined. Following a two-stage revision, clinical and microbiological cure was achieved in a patient with a M abscessus-infected total hip arthroplasty. A prolonged course of directed antibacterial therapy comprising clarithromycin and cefoxitin coupled with the application of amikacin-impregnated cement likely contributed to the successful outcome.

L’infection d’une prothèse articulaire causée par le Mycobacterium abscessus est rare, et le traitement optimal demeure mal défini. Après un examen en deux étapes, on a pu obtenir la guérison clinique et microbiologique d’un patient dont l’arthroplastie totale de la hanche était infectée par le M abscessus. Un thérapie antibactérienne dirigée prolongée composée de clarithromycine et de céfoxitine, couplée à l’application d’un ciment imprégné d’amikacine, a probablement contribué à l’issue positive.

Keywords: Mycobacterium abscessus; Prosthetic joint infection; Total hip arthroplasty.

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