Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : November | Volume : 11 | Issue : 11 | Page : DD05 - DD07

Prosthetic Joint Infection due to Burkholderia cenocepacia: An Opportunistic Pathogen with an Expanding Spectrum of Disease

Sujeesh Sebastian, Rajesh Malhotra, Rojaleen Das, Arti Kapil, Benu Dhawan

1. PhD Scholar, Department of Microbiology, All India Institute of Medical Sciences, Delhi, India. 2. Professor and Head, Department of Orthopaedics, All India Institute of Medical Sciences, Delhi, India. 3. Senior Resident, Department of Microbiology, All India Institute of Medical Sciences, Delhi, India. 4. Professor, Department of Microbiology, All India Institute of Medical Sciences, Delhi, India. 5. Professor, Department of Microbiology, All India Institute of Medical Sciences, Delhi, India.

Correspondence Address :
Dr. Benu Dhawan,
Room No. 2075, Department of Microbiology, All India Institute of Medical Sciences, Ansari Nagar-110029, Delhi, India.
E-mail: dhawanb@gmail.com

Abstract

Burkholderia cenocepacia is an opportunistic pathogen widespread in moist environments. It has been associated with lung infections, blood, skin and genitourinary tract infections. We report here the first case of Prosthetic Joint Infection (PJI) caused by B. cenocepacia isolated from the periprosthetic tissue samples and prosthesis sonicate fluid identified by Matrix-Assisted Laser Desorption Ionization-Time-of-Flight Mass Spectrometry (MALDI-TOF MS). A good clinical outcome was obtained by two-stage exchange arthroplasty and administration of co-trimoxazole and ciprofloxacin. In addition to the expanding spectrum of this opportunistic pathogen, this case also shows the reliability of newer diagnostic tools to rapidly identify the Burkholderia Cepacia Complex (BCC) to the species level.

Keywords

Burkholderia cepacia complex, Mass spectrometry, Periprosthetic tissue

How to cite this article :

Sujeesh Sebastian, Rajesh Malhotra, Rojaleen Das, Arti Kapil, Benu Dhawan. PROSTHETIC JOINT INFECTION DUE TO BURKHOLDERIA CENOCEPACIA: AN OPPORTUNISTIC PATHOGEN WITH AN EXPANDING SPECTRUM OF DISEASE. Journal of Clinical and Diagnostic Research [serial online] 2017 November [cited: 2018 Jan 20 ]; 11:DD05-DD07. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=November&volume=11&issue=11&page=DD05-DD07&id=10912

DOI and Others

DOI: 10.7860/JCDR/2017/32108.10912

Date of Submission: Sep 01, 2017
Date of Peer Review: Sep 19, 2017
Date of Acceptance: Oct 07, 2017
Date of Publishing: Nov 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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