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Leuconostoc mesenteroides periprosthetic knee infection, an unusual fastidious Gram-positive bacteria: a case report

Overview of attention for article published in BMC Infectious Diseases, March 2017
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Title
Leuconostoc mesenteroides periprosthetic knee infection, an unusual fastidious Gram-positive bacteria: a case report
Published in
BMC Infectious Diseases, March 2017
DOI 10.1186/s12879-017-2315-y
Pubmed ID
Authors

Rafael Franco-Cendejas, Claudia A. Colín-Castro, Melissa Hernández-Durán, Luis E. López-Jácome, Silvestre Ortega-Peña, Guillermo Cerón-González, Samuel Vanegas-Rodríguez, Jaime A. Mondragón-Eguiluz, Eduardo Acosta-Rodríguez

Abstract

Periprosthetic joint infections are mainly caused by Gram-positive cocci. Leuconostoc mesenteroides is a rare microorganism mainly causing bloodstream infections. At times, it might be confused with another type of cocci and give rise to misdiagnosed infections. Molecular diagnosis and biofilm production comprise important techniques to guide antibiotic treatment. A 68-year-old Hispanic female with a previous history of bilateral knee arthroplasty presented with acute right-knee inflammation and gait impairment. Blood tests showed inflammatory response and knee x-ray revealed no prosthesis loosening. Irrigation and debridement was performed. Gram-positive cocci were obtained from cultures, and then biochemical and molecular identification revealed L. mesenteroides. Susceptibility and biofilm production were performed. The patient was treated with IntraVenous (IV) Ceftriaxone for ten days and was then switched to Amoxicillin-Clavulanate for 3 months with clinical and laboratory success. Microbiology diagnosis of fastidious microorganisms is mandatory to treat periprosthetic joint infections adequately. L. mesenteroides may infect non-immunocompromised persons; however, treatment guidelines are lacking.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 41 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 41 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 4 10%
Other 4 10%
Student > Bachelor 4 10%
Student > Ph. D. Student 3 7%
Student > Master 3 7%
Other 8 20%
Unknown 15 37%
Readers by discipline Count As %
Medicine and Dentistry 8 20%
Agricultural and Biological Sciences 3 7%
Unspecified 2 5%
Veterinary Science and Veterinary Medicine 2 5%
Biochemistry, Genetics and Molecular Biology 2 5%
Other 9 22%
Unknown 15 37%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 March 2017.
All research outputs
#18,539,663
of 22,961,203 outputs
Outputs from BMC Infectious Diseases
#5,639
of 7,707 outputs
Outputs of similar age
#235,374
of 309,217 outputs
Outputs of similar age from BMC Infectious Diseases
#128
of 172 outputs
Altmetric has tracked 22,961,203 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 7,707 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.6. This one is in the 15th percentile – i.e., 15% of its peers scored the same or lower than it.
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We're also able to compare this research output to 172 others from the same source and published within six weeks on either side of this one. This one is in the 17th percentile – i.e., 17% of its contemporaries scored the same or lower than it.