Evidence map›Paper›PMID 36377682›Full record

ReviewOrthopaedic surgery2023

Diagnosis of Coxiella burnetii Prosthetic Joint Infection Using mNGS and ptNGS: A Case Report and Literature Review.

Changyu Huang, Haiqi Ding, Yiming Lin, Zeyu Zhang, Xinyu Fang, Yanshu Chen, Yang Chen, Chaofan Zhang, Wenbo Li, Wenming Zhang and 1 more

Open access · goldAbstract readReviewCase Reports
In one paragraph

Review in Orthopaedic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Genetic applications in arthroplasty: A review.Bulletin of the Hospital for Joint Disease (2013) · 2025
    Review
  5. Article
  6. Review
  7. Review
  8. Article
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  10. Article
  11. Article
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  15. Review
  16. Q fever represented as multiple pulmonary nodules: a case report.The Journal of international medical research · 2023
    Article
  17. Review
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

11 authors at 1 institution in 1 country.

Changyu HuangDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.ORCID https://orcid.org/0000-0002-8377-9181
Haiqi DingDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Yiming LinDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Zeyu ZhangDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Xinyu FangDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Yanshu ChenDepartment of Laboratory Medicine, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Yang ChenDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Chaofan ZhangDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.ORCID https://orcid.org/0000-0001-7397-2298
Wenbo LiDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.ORCID https://orcid.org/0000-0001-6131-8766
Wenming ZhangDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.ORCID https://orcid.org/0000-0003-1567-7279
Zida HuangDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.ORCID https://orcid.org/0000-0002-5204-2005
Fujian Medical University · CN

Funding

Foreign Cooperation Project of Science and Technology, Fujian Province 2019I0011Fujian Orthopaedic Bone and Joint Disease and Sports Rehabilitation Clinical Medical Research Center 2020Y2002Joint Funds for the Innovation of Science and Technology, Fujian Province 2019Y9132The National Science Foundation Grant of China 82072458The Startup Fund for Scientific Research of Fujian Medical University 2021QH1093
6 · The paper itself

Abstract

backgroundCoxiella burnetii (C. burnetii) is the causative agent of Q fever and is found worldwide; however, prosthetic joint infections caused by C. burnetii are rarely seen. Because of advances in molecular diagnostic techniques, prosthetic joint infection (PJI) caused by C. burnetii can now be diagnosed. CASE PRESENTATION: A 77-year-old male who had undergone total knee arthroplasty had a displaced prosthesis and periprosthetic osteolysis; he had no obvious signs of infection, and microbiological culture was negative. However, C. burnetii was detected by metagenomic next-generation sequencing (mNGS) and pathogen-targeted next-generation sequencing (ptNGS). Finally, polymerase chain reaction (PCR) confirmed the diagnosis of C. burnetii prosthetic joint infection (PJI). After revision surgery (one-stage revision) and oral antibiotics (doxycycline and moxifloxacin hydrochloride), the patient's symptoms disappeared, and he regained the ability to walk. During the 6-month follow-up, the patient's knee showed no signs of swelling, pain or the recurrence of infection, and he experienced no significant complications. We also present a review of the literature for other cases of C. burnetii PJI.

conclusionsThe symptoms of C. burnetii PJI may be different from those of Q fever, which may lead to misdiagnosis. mNGS and ptNGS may be helpful for the identification of C. burnetii. Once the diagnosis of C. burnetii PJI is confirmed, doxycycline in combination with a fluoroquinolone can be effectively administered after revision surgery.

Indexed as

Arthritis, InfectiousCoxiella burnetiiJoint ProsthesisQ FeverAgedDoxycyclineHigh-Throughput Nucleotide SequencingHumansMaleDoxycyclineCoxiella burnetiiMetagenomic next-generation sequencingPCR-based targeted next-generation sequencingProsthetic joint infection

Identifiers

PMID36377682
PMCPMC9837287
OpenAlexW4309096991

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.