伤口性肉毒中毒，复杂性桡骨骨折内固定术后。
Wound botulism complicating internal fixation of a complex radial fracture.
机构信息
Division of Infectious Diseases and International Health, Duke University Medical Center, Durham, North Carolina 27710, USA.
出版信息
J Clin Microbiol. 2010 Feb;48(2):650-3. doi: 10.1128/JCM.01258-09. Epub 2009 Dec 9.
Abstract
Botulism developed in a patient following surgical repair of an open radial fracture. Symptoms resolved after treatment with antitoxin and antibiotics, and hardware excision was deferred. Subsequent osteomyelitis necessitated hardware exchange, and wound cultures grew Clostridium argentinense. This case highlights the management of botulism associated with orthopedic hardware.
摘要
患者在接受开放性桡骨骨折手术后出现了肉毒中毒。经过抗毒素和抗生素治疗后，症状得到缓解，且推迟了硬件切除。随后发生的骨髓炎需要更换硬件，伤口培养出了阿根廷梭菌。本病例强调了与骨科硬件相关的肉毒中毒的处理。
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