Debridement, antibiotics, and implant retention in infected shoulder arthroplasty caused by Serratia marcescens: a case report.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 35045601.
- Also identified by DOI 10.5397/cise.2021.00479 and PMC identifier 9185116.
- Licence recorded as CC BY-NC.
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Abstract
Periprosthetic joint infection (PJI) is one of the most devastating complications that can occur after shoulder arthroplasty. Although staged revision arthroplasty is the standard treatment in many cases, surgical intervention with debridement, antibiotics, and implant retention (DAIR) can be an effective option for acute PJI. We report a complex case of infected reverse shoulder arthroplasty (RSA) in a 73-year-old male. The patient had been previously treated for infected nonunion of a proximal humerus fracture caused by methicillin-resistant Staphylococcus epidermidis. He presented with a sinus tract 16 days after the implantation of RSA and was diagnosed with PJI caused by Serratia marcescens. The patient was successfully treated with DAIR and was free of infection at the last follow-up visit at 4 years postoperatively.
Anatomy
- shoulder