year 19, Issue 6 (November - December 2025)                   Iran J Med Microbiol 2025, 19(6): 456-461 | Back to browse issues page

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Kozlov A, Shafigullina L, Kudashev D, Sefedinova M, Lyamin A, Knyazev A, et al . A Rare Case of Implant-Associated Infection Caused by Gordonia bronchialis. Iran J Med Microbiol 2025; 19 (6) :456-461
URL: http://ijmm.ir/article-1-2824-en.html
1- Research and Educational Professional Center for Genetic and Laboratory Technologies, Samara State Medical University, Samara, Russian Federation
2- Research and Educational Professional Center for Genetic and Laboratory Technologies, Samara State Medical University, Russian Federation , l.r.shafigullina@samsmu.ru
3- Department of Traumatology, Orthopedics and Extreme Surgery named after Academician of the Russian Academy of Sciences A.F. Krasnov, Samara State Medical University, Samara, Russian Federation
4- Department of General Surgery and Surgical Diseases, Samara State Medical University, Samara, Russian Federation
Abstract:   (360 Views)

Background and Aim: Gordonia (G.) bronchialis is a saprophytic bacterium, but the incidence rate of infections caused by it is increasing. We report a rare case of arthritis caused by this bacterium in a patient with hip involvement.
Case Presentation: A 66-year-old female patient with complaints of pain in the right hip joint and right groin area sought medical help 10 months after the endoprosthetics surgery. Physical examination did not reveal local inflammatory processes, but blood tests revealed increased inflammation markers. To verify the diagnosis, a hip puncture was performed with subsequent bacteriological examination, including MALDI-TOF mass spectrometry method, which resulted in G bronchialis detection.
Conclusion: The patient underwent surgical treatment – a two-stage revision endoprosthetics of the right hip joint. In the postoperative period, the patient received parenteral antibiotic therapy with vancomycin and ciprofloxacin. Upon discharge, oral ciprofloxacin was prescribed for six weeks. A control hip joint aspiration revealed no microbial growth in the synovial fluid. The periprosthetic joint infection was controlled, and the patient was approved for the second-stage operation.

Full-Text [PDF 607 kb]   (30 Downloads)    
Type of Study: Case report Article | Subject: Medical Bacteriology
Received: 2025/08/18 | Accepted: 2025/11/23 | ePublished: 2025/12/29

References
1. Bayo SM, Ruíz MP, Samper UA, Lou MI, Catalán AP, Usón MC. Pacemaker-induced endocarditis by Gordonia bronchialis. Enferm Infecc Microbiol Clin. 2022;40(5):255-7. [DOI:10.1016/j.eimc.2020.11.010]
2. Chang JH, Ji M, Hong HL, Choi SH, Kim YS, Chung CH, et al. Sternal osteomyelitis caused by Gordonia bronchialis after open-heart surgery. Infect Chemother. 2014;46(2):110-4. [DOI:10.3947/ic.2014.46.2.110] [PMID] [PMCID]
3. Ambesh P, Kapoor A, Kazmi DH, Elsheshtawy M, Shetty V, Lin YS, et al. Sternal osteomyelitis by Gordonia bronchialis in an immunocompetent patient after open heart surgery. Ann Card Anaesth. 2019;22(2):221-4. [DOI:10.4103/aca.ACA_125_18] [PMID] [PMCID]
4. Nwaedozie S, Mojarrab JN, Gopinath P, Fritsche T, Nasser RM. Sternal osteomyelitis caused by Gordonia bronchialis in an immunocompetent patient following coronary artery bypass surgery. IDCases. 2022;29:e01548. [DOI:10.1016/j.idcr.2022.e01548] [PMID] [PMCID]
5. Rodriguez-Lozano J, Pérez-Llantada E, Agüero J, Rodríguez-Fernández A, Ruiz de Alegria C, Martinez-Martinez L, et al. Sternal wound infection caused by Gordonia bronchialis: identification by MALDI-TOF MS. JMM Case Rep. 2016;3(5):e005067. [DOI:10.1099/jmmcr.0.005067] [PMID] [PMCID]
6. Johnson JA, Onderdonk AB, Cosimi LA, Yawetz S, Lasker BA, Bolcen SJ, et al. Gordonia bronchialis bacteremia and pleural infection: case report and review of the literature. J Clin Microbiol. 2011;49(4):1662-6. [DOI:10.1128/JCM.02121-10] [PMID] [PMCID]
7. Siddiqui N, Toumeh A, Georgescu C. Tibial osteomyelitis caused by Gordonia bronchialis in an immunocompetent patient. J Clin Microbiol. 2012;50(9):3119-21. [DOI:10.1128/JCM.00563-12] [PMID] [PMCID]
8. McCormick BJ, Chirila RM. Gordonia bronchialis bacteremia in a patient with Burkitt lymphoma: A case report and literature review. Cureus. 2022; 14(10):e30644. [DOI:10.7759/cureus.30644]
9. Sng LH, Koh TH, Toney SR, Floyd M, Butler WR, Tan BH. Bacteremia caused by Gordonia bronchialis in a patient with sequestrated lung. J Clin Microbiol. 2004;42(6):2870-1. [DOI:10.1128/JCM.42.6.2870-2871.2004] [PMID] [PMCID]
10. Davidson AL, Driscoll CR, Luther VP, Katz AJ. Recurrent skin and soft tissue infection following breast reduction surgery caused by Gordonia bronchialis: a case report. Plast Reconstr Surg Glob Open. 2022;10(6):e4395. [DOI:10.1097/GOX.0000000000004395] [PMID] [PMCID]
11. Xu CC, Qiu MH, Zhao SY, Liang XJ, He JX. Delayed endophthalmitis caused by Gordonia bronchialis after intraocular collamer lens implantation. Int J Ophthalmol. 2024;17(11):2148. [DOI:10.18240/ijo.2024.11.23] [PMID] [PMCID]
12. Alnajjar M, Mudawi D, Cherif H, Hashim SM, Zaqout A, Bougaila A, et al. Central catheter-related Gordonia bronchialis bacteremia in an immunocompromised patient: a case report, and literature review. IDCases. 2023;32:e01738. [DOI:10.1016/j.idcr.2023.e01738] [PMID] [PMCID]
13. Zivkovic Zaric R, Canovic P, Zaric M, Vuleta M, Vuleta Nedic K, Jovanovic J, et al. Antimicrobial treatment in invasive infections caused by Gordonia bronchialis: systematic review. Front Med. 2024;11:1333663. [DOI:10.3389/fmed.2024.1333663] [PMID] [PMCID]
14. Woods GL, Wengenack NL, Lin G, Brown-Elliott B, Cirillo D, Conville P, et al. Performance standards for susceptibility testing of mycobacteria, nocardia spp. and other aerobic actinomycetes. CLSI doument M62Ed1. Wayne, PA: Clinical and Laboratory Standards Institute. 2018.
15. Andalibi F, Fatahi-Bafghi M. Gordonia: isolation and identification in clinical samples and role in biotechnology. Folia Microbiol. 2017;62(3):245-52. [DOI:10.1007/s12223-017-0491-1] [PMID]
16. Lyamin AV, Zhestkov AV, Nikitina TR, Podsevalov VS, Trofimov AR, Ismatullin DD. General characteristics and clinical significance of Nocardia and Gordonia genera. Russ J Infect Immun. 2019;9(3-4):429-36. [DOI:10.15789/2220-7619-2019-3-4-429-436]

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