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偶然分枝杆菌人工关节感染聚集病例

Cluster of Mycobacterium fortuitum prosthetic joint infections.

作者信息

Cornelius Lisa, Reddix Robert, Burchett Christine, Bond Greg, Fader Robert

机构信息

Department of Infectious Diseases, Scott & White Memorial Hospital and Clinic, Sherwood and Brindley Foundation, The Texas A&M Health Science Center College of Medicine, Temple, TX 76508, USA.

出版信息

J Surg Orthop Adv. 2007 Winter;16(4):196-8.

Abstract

Mycobacterium fortuitum is a member of the rapidly growing nontuberculous mycobacteria. Although mortality is rare from M. fortuitum, morbidity depends on the localized site of infection. M. fortuitum is ubiquitous in the environment and has been reported to cause infections of prosthetic devices. There have been seven previously reported cases of prosthetic joint infections due to M. fortuitum. This article presents three additional cases of postoperative joint infections due to M. fortuitum. All three cases were confirmed to be genetically indistinguishable by pulse-field gel electrophoresis. Awareness of its importance is especially noteworthy in the realm of ongoing antibiotic resistance.

摘要

偶然分枝杆菌是快速生长的非结核分枝杆菌的一种。虽然偶然分枝杆菌导致的死亡率很低,但发病率取决于感染的局部部位。偶然分枝杆菌在环境中普遍存在,据报道可引起假体装置感染。此前已有7例因偶然分枝杆菌导致的人工关节感染病例报告。本文介绍另外3例因偶然分枝杆菌导致的术后关节感染病例。通过脉冲场凝胶电泳证实,所有3例在基因上无法区分。在持续存在抗生素耐药性的情况下,认识到其重要性尤其值得关注。

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