Favorable clinical and microbiological outcomes of a war-associated prosthetic joint infection caused by Klebsiella pneumoniae treated with combined phage-colistin therapy.
Lucas Mora-Quilis, Mireia Bernabéu-Gimeno, Marco Pardo-Freire et al.
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Case in brief
A patient with a prosthetic elbow infection due to multidrug-resistant Klebsiella pneumoniae, following a war-related injury, presented after failing multiple antibiotic treatments. The infection was successfully managed with a combination of personalized phage therapy and colistin, resulting in significant clinical improvement and microbiological clearance, with no signs of persistent infection at follow-up.
Diagnostic / clinical pearl
This case underscores the potential of personalized phage therapy as an effective adjunctive treatment for complex prosthetic joint infections caused by multidrug-resistant organisms when conventional antibiotics are ineffective.