Evidence map›Paper›PMID 29086355›Full record

ReviewInfection2018

Tubercular prosthetic joint infection: two case reports and literature review.

Sara Veloci, Jessica Mencarini, Filippo Lagi, Giovanni Beltrami, Domenico Andrea Campanacci, Alessandro Bartoloni, Filippo Bartalesi

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Infection, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Implant-associatedJournal of clinical orthopaedics and trauma · 2024
    Article
  5. Article
  6. Review
  7. Article
  8. Two-stage revision for treatment of tuberculous prosthetic hip infection: an outcome analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Review
  9. Article
  10. Article
  11. Management ofOpen forum infectious diseases · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Sara VelociInfectious Diseases Unit, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Jessica MencariniInfectious Diseases Unit, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Filippo LagiInfectious Diseases Unit, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Giovanni BeltramiOrthopaedic Oncology Unit, Careggi Hospital, Florence, Italy.
Domenico Andrea CampanacciOrthopaedic Oncology Unit, Careggi Hospital, Florence, Italy.
Alessandro BartoloniInfectious Diseases Unit, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Filippo BartalesiInfectious and Tropical Diseases Unit, Careggi Hospital, Largo Brambilla 3, 50134, Florence, Italy. bartalesif@aou-careggi.toscana.it.ORCID http://orcid.org/0000-0002-1166-3323
Azienda Ospedaliero-Universitaria Careggi · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTubercular prosthetic joint infection (TB-PJI) is an uncommon complication. Lack of evidence of systemic tuberculosis and clinical suspicion could bring a delay in the time of the diagnosis. The aims of this study are to underline the importance of awareness and suspicion of mycobacterial infection in the differential diagnosis in PJI and to evaluate the appropriateness of different therapeutic options.

methodsCase report and literature review.

resultsWe report two cases of TB-PJI after total knee arthroplasty in Caucasian patients without prior history of tubercular disease or exposure. In both cases, the diagnosis was obtained years after the onset of symptoms. Despite that, both patients improved during antitubercular treatment (a four-drug regimen consisting of rifampicin, isoniazid, ethambutol, and pyrazinamide for 2 months, followed by rifampicin and isoniazid). Moreover, after an 18-month course of treatment, there was no need for surgical therapy. The result of the literature review allows us to identify 64 cases of TB-PJI. Many differences in both medical and surgical management have been found, among those reviewed cases.

conclusionsConsidering our experience and the literature review, we recommend considering a conservative approach (debridement and adequate antituberculous chemotherapy) as a suitable and safe option.

Indexed as

AdultAntitubercular AgentsArthroplasty, Replacement, KneeDiagnosis, DifferentialFemaleHumansItalyJoint DiseasesMaleMiddle AgedPostoperative ComplicationsProsthesis-Related InfectionsTreatment OutcomeTuberculosisAntitubercular AgentsJointMycobacteriumProsthesisReviewTherapyTuberculosis

Identifiers

PMID29086355
OpenAlexW2766075807

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.