Table 2.
Patient | Initial symptoms | Initial radiographic results | Initial pathogens | Delay of recurrence (months) | Pathogens at recurrence | Treatment | Final result |
---|---|---|---|---|---|---|---|
1 | Pain + fistula | Osteolysis |
Streptococcus Staphylococcus aureus resistant to methicillin |
6 | Escherichia coli | Suppressive antibiotics | Contained |
2 | Pain | Loosening |
Enterococcus faecalis Corynebacterium Peptostreptococcus |
9 | Escherichia coli | One-stage exchange | Success |
3 | Pain | Osteolysis | Pseudomonas aeruginosa | 14 | Pseudomonas aeruginosa | Two-stage exchange | Failure |
4 | Pain | Osteolysis | Enterobacter | 17 | Escherichia coli | Open débridement + suppressive antibiotics | Success |
5 | Pain + fistula | Loosening | Staphylococcus aureus sensitive to methicillin | 5 | Staphylococcus aureus sensitive to methicillin | Débridement + suppressive antibiotics | Contained |
6 | Pain | Osteolysis | Staphylococcus aureus sensitive to methicillin | 18 | Staphylococcus aureus sensitive to methicillin | One-stage exchange | Success |