PMC5447565_01
The images highlighted an infectious/inflammatory process in the acetabular system.
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Elevated inflammation indexes: ESR 74 and CRP 2.28 (Fig. 1).
The images show the antibiotic spacer, and the placement of cerclage bone wires.
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On the 2nd of August 2016, she underwent in our facility the total removal of the left hip arthroprosthesis and of the antibiotic spacer, and the placement of cerclage bone wires: (Fig. 2) alongside that operation, intraoperative swabs were made to confirm the infectious process from E- cloacae.
New left hip revision prosthesis.
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A fragment of the antibiotic spacer was examined on the scanning electron microscope (SEM) to verify the eradication of the infection.
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A fragment of the antibiotic spacer (Fig. 4) was examined on the scanning electron microscope (SEM) to verify the eradication of the infection.
In the SEM picture the rod-shaped E.cloacae are evident.
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In the SEM picture (Fig. 5) the rod-shaped E.cloacae are evident, adhered to the biological matrix which presents blebs.