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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Format: | Article |
Language: | English |
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BMC
2019-01-01
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Series: | BMC Infectious Diseases |
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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. |
first_indexed | 2024-12-13T15:49:09Z |
format | Article |
id | doaj.art-a1a2aae614ca4c3ab559329a1a121f5f |
institution | Directory Open Access Journal |
issn | 1471-2334 |
language | English |
last_indexed | 2024-12-13T15:49:09Z |
publishDate | 2019-01-01 |
publisher | BMC |
record_format | Article |
series | BMC Infectious Diseases |
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 |