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Water Contamination at an Ambulatory Surgical Center Leads to Severe Mycobacterium Fortuitum Prosthetic Joint Infections: A Case Series

Year: 2024

Type: article

Abstract: Prosthetic joint infections (PJIs) following total joint arthroplasties are relatively rare but devastating complications. To date, no cases of Mycobacterium fortuitum PJIs associated with contaminated water supplies have been reported in the literature. Our report details 5 patients with Mycobacterium fortuitum PJIs related to a contaminated water supply at an ambulatory surgical center. These patients were identified by referral to our academic center. All underwent at least 1 revision surgery prior to referral and required prolonged broad-spectrum antibiotics. All had extensive wound complications, and 4 of 5 patients have received at least stage 1 of a 2-stage revision. All will require further surgery, but long-term outcomes remain relatively uncertain.

Source: Arthroplasty Today

DOI: 10.1016/j.artd.2024.101520

Authors: Reece Vesperman, J. Ryan Martin, Logan Locascio, Christina T. Fiske, Jessica Rice, Stephen Engstrom

Institutions: Vanderbilt University Medical Center, Vanderbilt University

Language: English

Topic: Orthopedic Infections and Treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Clean water and sanitation

Open Access status: gold

Estimated APC paid: $2,500