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[猪红斑丹毒丝菌引起的化脓性关节炎:病例报告及文献复习]

[Septic arthritis caused by erysipelotrix rhusiopathiae: case report and review of the literature].

作者信息

Neumann D R P, Hafner M, Dorn U

机构信息

Universitätsklinik für Orthopädie, PMU Salzburg, Osterreich.

出版信息

Z Orthop Unfall. 2009 Nov-Dec;147(6):740-2. doi: 10.1055/s-0029-1185917. Epub 2009 Aug 28.

Abstract

A 68-year-old man presented at our department with a suspected bacterial arthritis of the left knee. All diagnostic measures confirmed this diagnosis and the detected germ was Erysipelothrix rhusiopathiae. After arthroscopic debridement of the left knee, intravenous and oral antibiotic treatment for a total of 6 weeks, the patient was treated by total knee arthroplasty 6 months after the first presentation. The postoperative follow-up was without any pathological findings. There are only 4 other case reports in the international literature of Erysipelotrix rhusiopathiae linked to septic arthritis in humans. This case report of an infected knee further illustrates the pathogenicity of Erysipelothrix rhusiopathiae in humans.

摘要

一名68岁男性因左膝疑似细菌性关节炎就诊于我科。所有诊断措施均证实了这一诊断,检测到的病原菌为猪红斑丹毒丝菌。在对左膝进行关节镜清创术后,静脉及口服抗生素治疗共6周,患者在首次就诊6个月后接受了全膝关节置换术。术后随访未发现任何病理结果。国际文献中仅有另外4例关于猪红斑丹毒丝菌导致人类感染性关节炎的病例报告。这例膝关节感染病例报告进一步说明了猪红斑丹毒丝菌对人类的致病性。

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