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华纳葡萄球菌所致的化脓性关节炎:一项诊断挑战。

Septic arthritis due to Staphylococcus warneri: a diagnostic challenge.

作者信息

Legius Barbara, Landuyt Kristel Van, Verschueren Patrick, Westhovens Rene

机构信息

Division of Rheumatology, University Hospital KU Leuven, Belgium.

出版信息

Open Rheumatol J. 2012;6:310-1. doi: 10.2174/1874312901206010310. Epub 2012 Nov 2.

DOI:10.2174/1874312901206010310
PMID:23166572
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3496935/
Abstract

A septic arthritis due to an indolent infection is a challenge for timely diagnosis. In recent years septic arthritides due to Staphylococcus Warneri are increasingly reported, mostly as a complication in patients with prosthetic devices. We report on a case of a 38 year old immunocompetent male with an indolent infection with this commensal of the skin after a stay at an intensive care unit and review the available literature. Tissue cultures obtained by arthroscopy might be helpful in obtaining a correct diagnosis.

摘要

由惰性感染引起的化脓性关节炎对于及时诊断来说是一项挑战。近年来,越来越多地报道了由沃纳葡萄球菌引起的化脓性关节炎,主要是作为假体装置患者的一种并发症。我们报告了一例38岁免疫功能正常男性的病例,该患者在重症监护病房停留后发生了由这种皮肤共生菌引起的惰性感染,并对现有文献进行了综述。通过关节镜检查获得的组织培养可能有助于做出正确诊断。

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本文引用的文献

1
Recurrent Staphylococcus warnerii prosthetic valve endocarditis: a case report and review.复发性华纳葡萄球菌人工心脏瓣膜心内膜炎:一例病例报告及文献复习。
Ann Clin Microbiol Antimicrob. 2011 Apr 23;10:14. doi: 10.1186/1476-0711-10-14.
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Characterization of 26 Staphylococcus warneri isolates from orthopedic infections.从骨科感染中分离出的26株沃氏葡萄球菌的特性分析。
Int J Artif Organs. 2010 Sep;33(9):575-81. doi: 10.1177/039139881003300903.
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Prevalence and clinical relevance of Staphylococcus warneri in the neonatal intensive care unit.沃纳葡萄球菌在新生儿重症监护病房的患病率及临床相关性
Infect Control Hosp Epidemiol. 2007 Mar;28(3):326-30. doi: 10.1086/511998. Epub 2007 Feb 7.
4
Prevalence and antibiotic resistance of 15 minor staphylococcal species colonizing orthopedic implants.定植于骨科植入物的15种次要葡萄球菌属菌种的流行情况及抗生素耐药性
Int J Artif Organs. 2006 Apr;29(4):395-401. doi: 10.1177/039139880602900409.
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Staphylococcus warneri endocarditis after implantation of a lumbar disc prosthesis in an immunocompetent patient.免疫功能正常患者腰椎间盘假体植入术后发生沃纳葡萄球菌性心内膜炎。
J Infect. 2006 Jan;52(1):e15-8. doi: 10.1016/j.jinf.2005.04.016.
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Multifocal discitis caused by Staphylococcus warneri.沃纳葡萄球菌引起的多灶性椎间盘炎。
Joint Bone Spine. 2004 May;71(3):240-2. doi: 10.1016/S1297-319X(03)00126-X.
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Early prosthetic valve endocarditis due to Staphylococcus warneri with negative blood culture.血培养阴性的沃氏葡萄球菌所致早期人工瓣膜心内膜炎
J Infect. 2001 Feb;42(2):166. doi: 10.1053/jinf.2001.0805.
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Natural populations of the genus Staphylococcus.葡萄球菌属的自然种群。
Annu Rev Microbiol. 1980;34:559-92. doi: 10.1146/annurev.mi.34.100180.003015.
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Species identification of coagulase-negative staphylococcal isolates from blood cultures.血培养中凝固酶阴性葡萄球菌分离株的菌种鉴定。
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Vertebral osteomyelitis and native valve endocarditis caused by Staphylococcus warneri.沃纳葡萄球菌引起的脊椎骨髓炎和自身瓣膜心内膜炎。
Diagn Microbiol Infect Dis. 1989 May-Jun;12(3):261-3. doi: 10.1016/0732-8893(89)90024-2.