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KMID : 1036220220250020154
Clinics in Shoulder and Elbow
2022 Volume.25 No. 2 p.154 ~ p.157
Debridement, antibiotics, and implant retention in infected shoulder arthroplasty caused by Serratia marcescens: a case report
Lim Sung-Joon

Lee Jun-Bum
Shin Myoung-Yeol
Jeon In-Ho
Abstract
Periprosthetic joint infection (PJI) is one of the most devastating complications that can occur after shoulder arthroplasty. Although staged revision arthroplasty is the standard treatment in many cases, surgical intervention with debridement, antibiotics, and implant retention (DAIR) can be an effective option for acute PJI. We report a complex case of infected reverse shoulder arthroplasty (RSA) in a 73-year-old male. The patient had been previously treated for infected nonunion of a proximal humerus fracture caused by methicillin-resistant Staphylococcus epidermidis. He presented with a sinus tract 16 days after the implantation of RSA and was diagnosed with PJI caused by Serratia marcescens. The patient was successfully treated with DAIR and was free of infection at the last follow-up visit at 4 years postoperatively.
KEYWORD
Shoulder, Prosthesis-related infections, Arthroplasty, replacement, shoulder, Debridement, Anti-bacterial agents
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