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Listeria monocytogenes infection in prosthetic joints

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Summary

Listeria monocytogenes is increasingly recognised as a cause of prosthetic joint infection. These infections tend to be more insidious and indolent in contrast to similar infections with Staphylococcus aureus. They can occur in patients who are immunocompromised due to malignancy or other illness or in nonimmunocompromised elderly patients. Listeria infections should not be treated with cephalosporins and prolonged antimicrobial treatment is generally advised for prosthetic joint infections. We noted a high affinity of L. monocytogenes for foreign bodies. Three of twenty-seven cases (11%) of listeriosis under the period of investigation were associated with foreign bodies (hip prosthesis, knee prosthesis and arterial graft).

Résumé

Listeria monocytogenes est de plus en plus souvent impliqué dans des infections sur prothèses articulaires. Ces infections ont tendance à être plus insidieuses et moins douloureuses que celles à Staphylococcus aureus. Elles peuvent survenir chez des patients immunodéprimés en raison de cancers ou d'autres maladies, ou chez des sujets âgés non immunodéprimés. Un traitement anti-microbien prolongé, autre que par céphalosporines, est généralement indiqué dans les infections sur prothèses. Sur les vingt-sept cas de listériose recensés pendant la période d'investigation, trois (11%) étaient associés à la présence de corps étrangers (prothèse de hanche, prothèse du genou et greffe artérielle).

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Authors and Affiliations

  1. Federal Public Health Laboratory and Institute of Hygiene, University of Innsbruck, Austria

    F. Allerberger & M. P. Dierich

  2. Division of Infectious Diseases, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA

    M. J. Kasten & F. R. Cockerill III

  3. Department for Orthopaedic Surgery, University Clinic of Innsbruck, Austria

    M. Krismer

Authors
  1. F. Allerberger
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  2. M. J. Kasten
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  3. F. R. Cockerill III
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  4. M. Krismer
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  5. M. P. Dierich
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Allerberger, F., Kasten, M.J., Cockerill, F.R. et al. Listeria monocytogenes infection in prosthetic joints. International Orthopaedics 16, 237–239 (1992). https://doi.org/10.1007/BF00182702

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