Burkholderia pseudomallei peri-prosthetic infection following medial malleolar internal fixation: a case report
Abstract Background Melioidosis-associated peri-prosthetic infection is extremely rare. To date, melioidosis associated septic arthritis of the ankle joint following a medial malleolar internal fixation has not been reported. Case presentation We describe a 49-year-old male with a history of long st...
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| Format: | Article |
| Language: | English |
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BMC
2020-03-01
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| Series: | BMC Infectious Diseases |
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| Online Access: | http://link.springer.com/article/10.1186/s12879-020-04967-y |
| _version_ | 1811225938801721344 |
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| author | Umesh Jayarajah Arulprashanth Arulanantham Vimaleswaran Koculen Chamikara Palkumbura Aadil Faleel Rukshan Sooriyarachchi |
| author_facet | Umesh Jayarajah Arulprashanth Arulanantham Vimaleswaran Koculen Chamikara Palkumbura Aadil Faleel Rukshan Sooriyarachchi |
| author_sort | Umesh Jayarajah |
| collection | DOAJ |
| description | Abstract Background Melioidosis-associated peri-prosthetic infection is extremely rare. To date, melioidosis associated septic arthritis of the ankle joint following a medial malleolar internal fixation has not been reported. Case presentation We describe a 49-year-old male with a history of long standing diabetes who presented with fever, constitutional symptoms and right ankle pain for 1 week. Ten years ago, he underwent a medial malleolar screw fixation following a traumatic closed fracture. His initial right ankle radiographs showed no evidence of osteomyelitis. He underwent a wound debridement and washout of the right ankle joint. The peripheral blood and pus from the ankle joint was culture positive for Burkholderia pseudomallei with very high antibody titres. His subsequent radiographs showed features of chronic osteomyelitis. He was treated with a prolonged course of antibiotics and repeated wound debridement. At follow up after 6 months, he had no clinical features of recurrent infection. Conclusions Melioidosis should be entertained in the differential diagnosis of peri-prosthetic infections in high risk patients. |
| first_indexed | 2024-04-12T09:16:35Z |
| format | Article |
| id | doaj.art-ea7aa2343d904413be01cdb4ea5a9a4a |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-04-12T09:16:35Z |
| publishDate | 2020-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-ea7aa2343d904413be01cdb4ea5a9a4a2022-12-22T03:38:50ZengBMCBMC Infectious Diseases1471-23342020-03-012011510.1186/s12879-020-04967-yBurkholderia pseudomallei peri-prosthetic infection following medial malleolar internal fixation: a case reportUmesh Jayarajah0Arulprashanth Arulanantham1Vimaleswaran Koculen2Chamikara Palkumbura3Aadil Faleel4Rukshan Sooriyarachchi5Department of Orthopaedics and Trauma, National Hospital of Sri LankaDepartment of Orthopaedics and Trauma, National Hospital of Sri LankaDepartment of Orthopaedics and Trauma, National Hospital of Sri LankaDepartment of Orthopaedics and Trauma, National Hospital of Sri LankaDepartment of Orthopaedics and Trauma, National Hospital of Sri LankaDepartment of Orthopaedics and Trauma, National Hospital of Sri LankaAbstract Background Melioidosis-associated peri-prosthetic infection is extremely rare. To date, melioidosis associated septic arthritis of the ankle joint following a medial malleolar internal fixation has not been reported. Case presentation We describe a 49-year-old male with a history of long standing diabetes who presented with fever, constitutional symptoms and right ankle pain for 1 week. Ten years ago, he underwent a medial malleolar screw fixation following a traumatic closed fracture. His initial right ankle radiographs showed no evidence of osteomyelitis. He underwent a wound debridement and washout of the right ankle joint. The peripheral blood and pus from the ankle joint was culture positive for Burkholderia pseudomallei with very high antibody titres. His subsequent radiographs showed features of chronic osteomyelitis. He was treated with a prolonged course of antibiotics and repeated wound debridement. At follow up after 6 months, he had no clinical features of recurrent infection. Conclusions Melioidosis should be entertained in the differential diagnosis of peri-prosthetic infections in high risk patients.http://link.springer.com/article/10.1186/s12879-020-04967-yMelioidosisBurkholderia pseudomalleiPeri-prosthetic infectionMedial malleolar internal fixationScrew fixationChronic osteomyelitis |
| spellingShingle | Umesh Jayarajah Arulprashanth Arulanantham Vimaleswaran Koculen Chamikara Palkumbura Aadil Faleel Rukshan Sooriyarachchi Burkholderia pseudomallei peri-prosthetic infection following medial malleolar internal fixation: a case report BMC Infectious Diseases Melioidosis Burkholderia pseudomallei Peri-prosthetic infection Medial malleolar internal fixation Screw fixation Chronic osteomyelitis |
| title | Burkholderia pseudomallei peri-prosthetic infection following medial malleolar internal fixation: a case report |
| title_full | Burkholderia pseudomallei peri-prosthetic infection following medial malleolar internal fixation: a case report |
| title_fullStr | Burkholderia pseudomallei peri-prosthetic infection following medial malleolar internal fixation: a case report |
| title_full_unstemmed | Burkholderia pseudomallei peri-prosthetic infection following medial malleolar internal fixation: a case report |
| title_short | Burkholderia pseudomallei peri-prosthetic infection following medial malleolar internal fixation: a case report |
| title_sort | burkholderia pseudomallei peri prosthetic infection following medial malleolar internal fixation a case report |
| topic | Melioidosis Burkholderia pseudomallei Peri-prosthetic infection Medial malleolar internal fixation Screw fixation Chronic osteomyelitis |
| url | http://link.springer.com/article/10.1186/s12879-020-04967-y |
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