Table 1. Characteristics of 3 patients with THA PJI.
Case 1 | Case 2 | Case 3 | |
---|---|---|---|
Age (years) | 45 | 54 | 75 |
Sex | Female | Male | Female |
Body Weight (kg) | 95 | 82 | 90 |
THA Material | Metal-on-polyethylene | Metal-on-polyethylene | Metal-on-polyethylene |
THA Fixation | Hybrid | Cemented | Hybrid |
Underlying systemic diseases | No | No | No |
Symptoms and signs of infection | |||
- Pain | Yes | Yes | Yes |
- Erythema | Yes | No | Yes |
- Swelling | Yes | Yes | Yes |
- Fever (≥38°C) | Yes | Yes | No |
- Sinus tract | No | No | No |
- Bacteremia | No | No | No |
Baseline laboratory data | |||
- C-reactive protein mg/l | 121 | 34 | 56 |
- ESR mm/1 hour | 70 | 83 | 34 |
Time from implant to infection diagnosis (days) | 13 | 11 | 7 |
Time from implant to debridement (days) | 14 | 17 | 42 |
Time from infection onset to debridement (days) | 4 | 6 | 35 |
Number of surgical samples obtained at first debridement | 4 | 4 | 7 |
Number of positive culture / number of surgical samples obtained | 4/4 | 4/4 | 6/7 |
Additional debridement required (number) | 4 | 1 | 1 |
Intravenous tigecycline therapy | |||
Total Treatment Duration (days) | 60 | 30 | 30 |
Inpatient Treatment (days) | 28 | 10 | 6 |
Catheter used for drug infusion | CVC | PICC | PICC |
Concomitant Drug | |||
Colistin (duration in days) | 12 | 8 | 6 |
Oral minocycline (200 mg/day) after tigecycline discontinuation (months) | 3 | 7 | No |
Follow up after therapy discontinuation (months) | 28 | 31 | 30 |
THA, total hip arthroplasty; PJI, prosthetic joint infection; ESR, erythrocyte sedimentation rate;
CVC, central venous catheter; PICC, peripherally inserted central catheter.