Stiehl James B, Sterkin Lawrence A, Brummitt Charles F
Midwest Orthopaecis Biomechanical Laboratory, Columbia Hospital, Milwaukee, Wisconsin, USA.
J Arthroplasty. 2004 Feb;19(2):244-7. doi: 10.1016/j.arth.2003.08.004.
Pasturella multocida is a rare cause of joint sepsis in total joint arthroplasty, and all case reports have identified a distant source of infection from an animal bite that has caused potential hematogenous seeding of the prosthesis. We report a case in which no potential distal wound source was found and the only likely etiology was local wound seeding from an old injury. In that injury, a saddle stirrup had caused a severe traumatic soft tissue injury as a horse had rolled over the patient. We draw attention to the fact that this particular bacteria is virulent in producing septic contamination of a total joint prosthesis, and aggressive treatment is indicated when such infection is identified.
多杀巴斯德菌是全关节置换术中关节脓毒症的罕见病因，所有病例报告均已确定感染源来自动物咬伤，这种咬伤导致了假体潜在的血源性播散。我们报告了一例未发现潜在远端伤口感染源，唯一可能的病因是旧伤导致的局部伤口播散的病例。在那次损伤中，当一匹马从患者身上滚过时，马镫造成了严重的创伤性软组织损伤。我们提请注意这样一个事实，即这种特殊细菌在导致全关节假体发生脓毒性污染方面具有很强的致病性，当发现这种感染时，应进行积极治疗。
