A Rare Case of Implant-Associated Infection Caused by Gordonia bronchialis

Kozlov, Andrei; Shafigullina, Liliya; Kudashev, Dmitry; Sefedinova, Maria; Lyamin, Artem; Knyazev, Andrey; Abramova, Anastasia; Ulivanova, Viktoriia

year 19, Issue 6 (November - December 2025) Iran J Med Microbiol 2025, 19(6): 7-7 | 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) :7-7
URL: http://ijmm.ir/article-1-2824-en.html

A Rare Case of Implant-Associated Infection Caused by Gordonia bronchialis

Andrei Kozlov¹

, Liliya Shafigullina²

, Dmitry Kudashev³

, Maria Sefedinova⁴

, Artem Lyamin¹

, Andrey Knyazev³

, Anastasia Abramova¹

, Viktoriia Ulivanova¹

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: (246 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.