{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T14:11:50Z","timestamp":1762956710673,"version":"3.44.0"},"reference-count":21,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,7,28]]},"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:p>A 58-year-old man with a history of end-stage degenerative joint disease developed a postsurgical infection at the right hip 4 weeks after hip replacement surgery. He underwent surgical washout of the right hip without opening the joint capsule. Arthrocentesis returned positive for <jats:italic>Mycobacterium fortuitum<\/jats:italic>. He was started on antibiotics with the recommendation to remove the prosthesis. The prosthesis was retained. Based on antimicrobial susceptibilities, he was treated with 4 weeks of intravenous therapy using cefoxitin and amikacin and later switched to oral ciprofloxacin and doxycycline for 5 additional months. Eighteen months from his initial hip replacement surgery, he continues to do well. Joint aspiration culture is important to make a diagnosis of prosthetic joint infection (PJI) when periprosthetic culture is not available. In the absence of serious systemic or comorbid joint conditions, PJI due to <jats:italic>M.\u202ffortuitum<\/jats:italic> can be managed medically without having to remove the prosthesis or debride the joint.<\/jats:p>","DOI":"10.1136\/bcr-2021-243675","type":"journal-article","created":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T13:04:25Z","timestamp":1629205465000},"page":"e243675","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["A case of <i>Mycobacterium fortuitum<\/i> prosthetic joint infection successfully treated medically without prosthesis explantation or joint debridement"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4200-6262","authenticated-orcid":false,"given":"Maya","family":"Ramanathan","sequence":"first","affiliation":[{"name":"Infectious Diseases, University of Miami School of Medicine, Miami, Florida, USA"},{"name":"Infectious Diseases, Jackson Memorial Hospital, Miami, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3680-1278","authenticated-orcid":false,"given":"Folusakin","family":"Ayoade","sequence":"additional","affiliation":[{"name":"Infectious Diseases, University of Miami School of Medicine, Miami, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,8,17]]},"reference":[{"key":"2025082707325202000_14.8.e243675.1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.17.01617"},{"key":"2025082707325202000_14.8.e243675.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2009.04.027"},{"key":"2025082707325202000_14.8.e243675.3","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0209-4"},{"key":"2025082707325202000_14.8.e243675.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2007.10.017"},{"key":"2025082707325202000_14.8.e243675.5","doi-asserted-by":"crossref","first-page":"183???186","DOI":"10.1097\/00003086-198703000-00029","article-title":"Prosthetic joint infections secondary to rapidly growing Mycobacterium fortuitum","volume":"216","author":"Herold","year":"1987","journal-title":"Clin Orthop Relat Res"},{"key":"2025082707325202000_14.8.e243675.6","doi-asserted-by":"crossref","first-page":"453","DOI":"10.3109\/23744235.2016.1142673","article-title":"Prosthetic joint infections secondary to rapidly growing mycobacteria: two case reports and a review of the literature","volume":"48","author":"Henry","year":"2016","journal-title":"Infect Dis"},{"key":"2025082707325202000_14.8.e243675.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2007.08.007"},{"key":"2025082707325202000_14.8.e243675.8","first-page":"33","article-title":"Early onset prosthetic knee joint infection by mycobacterium fortuitum: a case report and literature review","volume":"43","author":"Taweekitikul","year":"2019","journal-title":"JRCOST"},{"key":"2025082707325202000_14.8.e243675.9","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis803"},{"key":"2025082707325202000_14.8.e243675.10","unstructured":"Second international consensus on periprosthetic joint infection July 25-27, 2018. 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