Prosthetic Joint Infection due to Burkholderia cenocepacia: An Opportunistic Pathogen with an Expanding Spectrum of Disease DD05-DD07
Dr. Benu Dhawan,
Room No. 2075, Department of Microbiology, All India Institute of Medical Sciences, Ansari Nagar-110029, Delhi, India.
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.