掌指关节硅胶置换术后龟分枝杆菌感染：一例报告
Mycobacterium chelonae infection following silicone arthroplasty of the metacarpophalangeal joints: a case report.
作者信息
Iordache Sorin Daniel, Daneman Nick, Axelrod Terry S
机构信息
Upper Limb Surgery, Division of Orthopaedic Surgery, Sunnybrook Health Sciences Centre, University of Toronto, 2075 Bayview Avenue, MG 301, Toronto, ON, Canada M4N 3M5.
出版信息
Hand (N Y). 2009 Jun;4(2):129-33. doi: 10.1007/s11552-008-9138-7. Epub 2008 Oct 9.
Abstract
We present a case of infection caused by an uncommon pathogen, Mycobacterium chelonae, in a patient that underwent Swanson silicone arthroplasty of the metacarpophalangeal joints for rheumatoid arthritis. This is the first report of an infection caused by nontuberculous Mycobacteria in flexible silicone implants in the hand. The patient was successfully treated with implant removal, debridement, and antimicrobials tailored to the results of in vitro susceptibility testing.
摘要
我们报告了一例由罕见病原体龟分枝杆菌引起感染的病例，该患者因类风湿性关节炎接受了掌指关节的斯旺森硅胶关节成形术。这是首例关于手部柔性硅胶植入物中由非结核分枝杆菌引起感染的报告。通过移除植入物、清创以及根据体外药敏试验结果定制的抗菌药物，该患者得到了成功治疗。
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