A Rare Case of Staphylococcus Caprae-Infected Total Hip Arthroplasty: A Report and Literature Review

We report a rare case of S caprae hip arthroplasty infection. To be best of our knowledge, this is the 38th case of S caprae prosthetic joint infection and the 9th case of S caprae hip arthroplasty infection to be reported in the medical literature. The case was successfully treated by minor-partial one-stage revision and culture-directed antibiotic therapy.Clinicians must maintain a low index of suspicion for S caprae as a pathogen in orthopaedic infections. We suggest that a minor-partial one-stage revision is appropriate treatment since it balances low morbidity with good functional outcomes and a low chance of re-revision for infection at two years. We propose the following as markers of therapeutic success: (1) early detection of infection, (2) absence or radiolucent lines around the bone-prosthesis interface on plain radiographs, (3) mono-microbial infection, (4) infection with an organism of low virulence, (5) culture-proven susceptibility to available antibiotics and (6) immunosuppression that is effectively treatable.
Source: Current Medicine Research and Practice - Category: General Medicine Source Type: research