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Table 1 Summary of previously reported E. rhusiopathiae joint infections in the literature

From: An unusual case of Erysipelothrix rhusiopathiae prosthetic joint infection from the Canadian Arctic: whole genome sequencing unable to identify a zoonotic source

Ref.

Age

Sex

Comorbid conditions

Joint

Possible Exposure

Presumed Mechanism of Joint Infection

Fever

CRP mg/L

X-Ray Findings

Antibiotic Therapy

Surgical Intervention

Follow-up period

Outcome

[10]

55

M

CRF, hemodialysis

Native shoulder

Work as butcher

Contiguous spread

NR

NR

NR

IV penicillin G × 3 weeks

Arthrotomy and irrigation

Unknown

No relapse

[27]

67

M

DM, CLL

Native elbow

Unknown

Unknown

No

NR

NR

None

Arthroscopic irrigation

Unknown

No relapse

[11]

18

M

None

Native knee

Knee laceration on seashore rock 2 months prior

Contiguous spread

No

146.7

NR

IV penicillin G + IV ciprofloxacin × 5 weeks then PO clindamycin + PO ciprofloxacin × 16 weeks

Arthroscopic irrigation and debridement

5 months

No relapse

[28]

41

F

Systemic and intra-articular steroid use for SLE

Native knee

Cleaning Koi fish pond weekly in prior 18 months

Contiguous spread

No

30.6

NR

IV penicillin G × 4 weeks then PO ciprofloxacin × 2 weeks

Arthrotomy and synovectomy

12 months

No relapse

[19]

76

M

Previous Aortic valve replacement

Native knee

Unknown

Hematogenous seeding

No

NR

NR

IV penicillin G × 4 weeks

None

Unknown

No relapse

[29]

5

M

None

Native hip

Unknown

Unknown

No

24

Increase in medial joint space

PO amoxicillin-clavulanate ×  21 days

Arthrotomy and irrigation

4 months

No relapse

[30]

76

M

Long term high dose steroid use for RA and lupus nephritis

Prosthetic knee

Prior work with pig, cow, kangaroo, and penguin hides

Unknown

NR

27

Prosthetic misalignment

IV penicillin G + IV levofloxacin × 3 weeks then PO clindamycin + PO levofloxacin × 7 weeks

2 stage exchange with 2 chains of 30 gentamicin beads in tibial cavity and gentamicin spacer

12 months

No relapse

[31]

73

F

Unknown

Prosthetic hip

Owned a hunting dog

Unknown

NR

17.4

Radiolucency between femoral cement mantle and bone

IV penicillin G + IV × 3 weeks then PO amoxicillin × 8 weeks

2-stage exchange with gentamicin + clindamycin spacer

4 months

No relapse

[12]

68

F

Alcoholism, systemic steroid use

Prosthetic knee

Feeding swine

Contiguous spread

No

74

Advanced osteolysis of tibia, femur and patella

IV imipenem + IV ofloxacin × 2 weeks then PO clindamycin + PO ofloxacin ×  24 weeks

Prosthesis removal with gentamicin + vancomycin spacer and eventual definitive arthrodesis

32 months

No relapse

Arthrodesis

[32]

82

M

Unknown

Prosthetic knee

Unknown

Unknown

No

NR

Prosthesis loosening

IV ceftriaxone × 3 months for initial episode

IV ceftriaxone + PO levofloxacin × 12 weeks for recurrrence

1-stage exchange for initial episode

2-stage exchange for recurrence

2 years

Relapse 1 month after initial antibiotic course. No relapse after 2-stage exchange

  1. Abbreviations: CRF chronic renal failure, DM Diabetes mellitus, CLL chronic lymphocytic leukemia, IV intravenous, NR not reported, PO oral, RA rheumatoid arthritis, Ref. reference