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Article Dans Une Revue The american journal of medicine Année : 2014

Culture-negative prosthetic joint arthritis related to Coxiella burnetii

Résumé

BACKGROUND: The number of hip and knee arthroplasty procedures is steadily increasing as life expectancy increases. Coxiella burnetii may be responsible for culture-negative prosthetic joint arthritis and is associated with antibiotic failure and repeated surgeries. We report the first case series of C. burnetii-related culture-negative prosthetic joint arthritis. METHODS: Cases were retrieved from the French National Referral center for Q fever. Diagnosis was based on (18)fluorodeoxyglucose positron emission tomography, serology, broad-range polymerase chain reaction, and C. burnetii-specific polymerase chain reaction. RESULTS: Four cases of C. burnetii-related culture-negative prosthetic joint arthritis were found. Standard bacteriologic procedures would have missed the diagnosis in all cases. Etiologic diagnosis improved the outcome in all but 1 case. CONCLUSIONS: A systematic, comprehensive diagnostic strategy should be used in culture-negative prosthetic joint arthritis, including testing for C. burnetii in endemic areas.
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Dates et versions

hal-01910946 , version 1 (02-11-2018)

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Matthieu Million, Lucile Bellevegue, Anne-Sophie Labussiere, Michal Dekel, Tristan Ferry, et al.. Culture-negative prosthetic joint arthritis related to Coxiella burnetii. The american journal of medicine, 2014, 127 (8), pp.786.e7-786.e10. ⟨10.1016/j.amjmed.2014.03.013⟩. ⟨hal-01910946⟩
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