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假丝酵母菌属(Pseudallescheria boydii)感染人工髋关节——一种罕见部位的不常见感染。

Pseudallescheria boydii infection of a prosthetic hip joint--an uncommon infection in a rare location.

机构信息

Infectious Diseases Unit, E. Wolfson Hospital, Holon, Israel.

出版信息

Am J Med Sci. 2011 Sep;342(3):250-3. doi: 10.1097/MAJ.0b013e31821f9691.

Abstract

Pseudallescheria boydii infection of the hip joint was diagnosed 2.5 years after implantation of a prosthetic joint in a woman with rheumatoid arthritis. Cure was achieved with a 10-month course of voriconazole coupled with removal of the prosthesis and repeat surgical debridement. Pseudallescheria boydii is an environmental mold that can cause osteoarticular infection, most often not only after local trauma but also after local injections and surgical procedures. Hip involvement was rarely reported, and this is the first description of a prosthetic joint infection with Scedosporium sp.

摘要

一名类风湿关节炎女性患者在关节置换术后 2.5 年被诊断为假丝酵母菌属 boydii 髋关节感染。经过 10 个月的伏立康唑治疗,联合假体取出和重复手术清创,患者痊愈。假丝酵母菌属 boydii 是一种环境霉菌,可引起骨关节炎感染,最常见于局部创伤后,但也可见于局部注射和手术操作后。髋关节受累很少见,这是首例 scedosporium sp. 假丝酵母菌属 boydii 假体关节感染的描述。

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