Table 1.
Case number | Age (years) | Sex | Femoral bone loss | Causative microorganism | Tetracycline dosage and administrationperiod | Surgical intervention | Histological findings | Follow-up (12 months) |
---|---|---|---|---|---|---|---|---|
Case 1 |
67 |
Female |
IIIA |
Meticillin-resistant Staphylococcus aureus |
Minocycline 100 mg every 12 h orallyfor 4 weeks |
Spacer removal andreimplantation |
Late fibrosis of marrow with chronic inflammatory infiltrate and plasma cell predominance along with fragments of necrotic bone, consistent with osteomyelitis; 5 neutrophils per high-power field. |
Absence of relapse |
Case 2 |
40 |
Male |
II |
Meticillin-resistant Staphylococcus aureus |
Minocycline 100 mg every 12 h orallyfor 10 d |
First stage of a two-stage septic revision |
Late fibrosis of marrow with chronic inflammatory infiltrate along with fragments of necrotic bone and bone marrow edema, consistent with osteomyelitis; 5 neutrophils per high-power field. |
Absence of relapse,waiting for the secondstage of the revision |
Case 3 | 68 | Female | I | Escherichia coli | Minocycline 100 mg every 12 h orally for 7 d | Reimplantation | Bone tissue with reactive vascular proliferation and chronic inflammatory infiltrate along with fragments of necrotic bone and bone marrow edema, consistent with osteomyelitis; 5 neutrophils per high-power field. | Absence of relapse |
Femoral bone loss according to the Paprosky classification (Weeden and Paprosky, 2002).