Table 1.
Details of Corynebacterium prosthetic joint infections.
| Patient case number | TKA or THA | Type of surgery for Corynebacterium-related PJI | Preoperative culture from aspirate | Intraoperative cultures | Type of antibiotic(s) | Duration of antibiotic(s) (wk) | Infection recurrence | Additional surgical treatment |
|---|---|---|---|---|---|---|---|---|
| 1 | THA | DAIR | NG | Corynebacterium striatum (5/5) | IV vancomycin | 6 | Yes | Resection and articulating spacer, spacer exchange, reimplantation, resection and articulating spacer |
| 2 | TKA | Resection arthroplasty with static spacer | Corynebacterium striatum | Corynebacterium striatum (3/6) | IV vancomycin | 6 | No | Reimplantation |
| 3 | TKA | DAIR | Corynebacterium striatum | Corynebacterium striatum (4/4), Prevotella bivia (3/4), Peptoniphilus asaccharolyticus (3/4) | IV vancomycin and piperacillin/tazobactam | 12 | Yes | Resection with static spacer, I&D, AKA with multiple debridements |
| 4 | THA | Resection arthroplasty with static spacer | No aspirate | Corynebacterium striatum (5/6), Mycobacterium avium (1/6) | IV vancomycin and ertapenem | 8 | Yes | Reimplantation, revision, DAIR |
| 5 | TKA | Resection arthroplasty with articulating spacer | Corynebacterium striatum | Corynebacterium striatum (3/7) | IV vancomycin | 6 | Yes | AKA with multiple debridements |
| 6 | THA | I&D | Corynebacterium striatum | Corynebacterium striatum (4/5), Enterococcus faecium (3/5) | PO tedizolid | 8 | Yes | I&D |
THA, total hip arthroplasty; TKA, total knee arthroplasty; PJI, prosthetic joint infection; DAIR, debridement, antibiotics, and implant retention; NG, no growth; IV, intravenous; PO, oral; AKA, above-knee amputation; I&D, irrigation and debridement.