Marbach F, Saiah L, Fischer J F, Huismans J, Cometta A
Service d'orthopédie et de traumatologie de l'appareil moteur, Hôpital du Chablais, 1870 Monthey.
Rev Med Suisse. 2007 Apr 18;3(107):1007-9.
Brucellosis, an "anthropophitic" disease of worldwide distribution can involve several organs and tissues but the osteoarticular disease is the most common complication. It can occur as sacroiliitis, bursitis, tenosynovitis or osteomyelitis. Prosthetic joint infection is a serious complication of total joint arthroplasty, with coagulase negative staphylococci and Staphylococcus aureus accounting for 50% of cases. Treatment of prosthetic infections remains complex. Prosthetic infections caused by Brucella spp are rarely described in the literature. We report a patient with a prosthetic joint infection due to Brucella spp, documented by a polymerase chain reaction. The patient has been cured after two-stage exchange of the prosthesis and long-term antimicrobial therapy.
布鲁氏菌病是一种全球分布的“人畜共患”疾病,可累及多个器官和组织,但骨关节疾病是最常见的并发症。它可表现为骶髂关节炎、滑囊炎、腱鞘炎或骨髓炎。人工关节感染是全关节置换术的严重并发症,凝固酶阴性葡萄球菌和金黄色葡萄球菌占病例的50%。人工关节感染的治疗仍然很复杂。布鲁氏菌属引起的人工关节感染在文献中很少被描述。我们报告一例由布鲁氏菌属引起的人工关节感染患者,通过聚合酶链反应确诊。该患者在进行两阶段假体置换和长期抗菌治疗后已治愈。