Table 1 Cases of orthopedic infection caused by A. defectiva
From: Abiotrophia defectiva knee prosthesis infection: A case report
Patient | Age/Sex | Dental procedure | Location | Microbiological diagnosis | Endocarditis | Treatment | Outcome |
|---|---|---|---|---|---|---|---|
Patient 1[7] | 65/F | 4-year-old total knee arthroplasty | 16S rDNA PCR | No | Cefazolin i.v. 10 days, ciprofloxacin orally 26 days | Relapse four months later: two-stage revision arthroplasty, flucloxacillin orally | |
Patient 2[5] | 90/M | two months before | Knee | Synovial fluid cultures, blood cultures | No | Ceftriaxone i.v., levofloxacin orally six weeks | Improved |
Patient 3[6] | 75/M | one day before | Knee | Synovial fluid culture, blood cultures | No | Penicillin G i.v. and gentamicin i.v. three weeks, Penicillin G i.v. five weeks, levofloxacin orally four weeks | Improved |
Patient 4[8] | 51/M | six weeks before | Discitis and sacroiliitis | Blood cultures | Yes | Amoxicillin i.v., gentamicin i.v. and rifampicin orally three weeks, amoxicillin and rifampicin orally 11 weeks | No relapse (12-month follow-up) |
Patient 5 [this case report] | 71/M | one week before | 2-year-old total knee arthroplasty | 16S rDNA PCR, synovial fluid (blood culture bottles) | No | Two-stage revision arthroplasty. Amoxicillin orally nine months | No relapse (12- month follow-up) |