Infection due to Mycoplasma hominis after left hip replacement: case report and literature review

Abstract Background Hip replacement is generally conducted in those with prolonged arthritis pain or hip fractures, and postoperative infection is a serious complication. Mycoplasma hominis, belonging to mycoplasma species, exists mainly in the genitourinary tract. M. hominis infection after total h...

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Main Authors: Lili Xiang, Binghuai Lu
Format: Article
Language:English
Published: BMC 2019-01-01
Series:BMC Infectious Diseases
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12879-019-3686-z
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author Lili Xiang
Binghuai Lu
author_facet Lili Xiang
Binghuai Lu
author_sort Lili Xiang
collection DOAJ
description Abstract Background Hip replacement is generally conducted in those with prolonged arthritis pain or hip fractures, and postoperative infection is a serious complication. Mycoplasma hominis, belonging to mycoplasma species, exists mainly in the genitourinary tract. M. hominis infection after total hip replacement was rarely documented in literature. Case presentation A 59-year-old male was febrile after left total hip replacement. Empiric therapy with cefepime for suspected infection was ineffective. Specimens at the infection site were collected for culture, and pinpoint colonies grew after incubation at 35 °C for 48 h on blood agar plate. They grew to approximately 0.5 mm colonies in diameter after 7-day incubation, and were identified as M. hominis. Sequentially, combination therapy with clindamycin hydrochloride and moxifloxacin was initiated, and the patient defervesced within 3 days and was discharged home. Conclusions The study highlighted the potential pathogenicity of M. hominis in postoperative infection. The possibility of this microorganism involvement should be valued if the patients who experienced the hip or joint replacement had inexplicable fever.
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spelling doaj.art-a1a2aae614ca4c3ab559329a1a121f5f2022-12-21T23:39:35ZengBMCBMC Infectious Diseases1471-23342019-01-011911710.1186/s12879-019-3686-zInfection due to Mycoplasma hominis after left hip replacement: case report and literature reviewLili Xiang0Binghuai Lu1Department of Laboratory Medicine, Chongqing Shapingba District Chenjiaqiao hospitalLaboratory of Clinical Microbiology and Infectious Diseases, Department of Pulmonary and Critical Care Medicine, China-Japan Friendship HospitalAbstract Background Hip replacement is generally conducted in those with prolonged arthritis pain or hip fractures, and postoperative infection is a serious complication. Mycoplasma hominis, belonging to mycoplasma species, exists mainly in the genitourinary tract. M. hominis infection after total hip replacement was rarely documented in literature. Case presentation A 59-year-old male was febrile after left total hip replacement. Empiric therapy with cefepime for suspected infection was ineffective. Specimens at the infection site were collected for culture, and pinpoint colonies grew after incubation at 35 °C for 48 h on blood agar plate. They grew to approximately 0.5 mm colonies in diameter after 7-day incubation, and were identified as M. hominis. Sequentially, combination therapy with clindamycin hydrochloride and moxifloxacin was initiated, and the patient defervesced within 3 days and was discharged home. Conclusions The study highlighted the potential pathogenicity of M. hominis in postoperative infection. The possibility of this microorganism involvement should be valued if the patients who experienced the hip or joint replacement had inexplicable fever.http://link.springer.com/article/10.1186/s12879-019-3686-zMycoplasma hominisPostoperative infectionsHip replacement
spellingShingle Lili Xiang
Binghuai Lu
Infection due to Mycoplasma hominis after left hip replacement: case report and literature review
BMC Infectious Diseases
Mycoplasma hominis
Postoperative infections
Hip replacement
title Infection due to Mycoplasma hominis after left hip replacement: case report and literature review
title_full Infection due to Mycoplasma hominis after left hip replacement: case report and literature review
title_fullStr Infection due to Mycoplasma hominis after left hip replacement: case report and literature review
title_full_unstemmed Infection due to Mycoplasma hominis after left hip replacement: case report and literature review
title_short Infection due to Mycoplasma hominis after left hip replacement: case report and literature review
title_sort infection due to mycoplasma hominis after left hip replacement case report and literature review
topic Mycoplasma hominis
Postoperative infections
Hip replacement
url http://link.springer.com/article/10.1186/s12879-019-3686-z
work_keys_str_mv AT lilixiang infectionduetomycoplasmahominisafterlefthipreplacementcasereportandliteraturereview
AT binghuailu infectionduetomycoplasmahominisafterlefthipreplacementcasereportandliteraturereview