难治性卡尔罗氏关节霉原生膝关节感染。
Refractory Arthrographis kalrae native knee joint infection.
作者信息
Boan Peter, Arthur Ian, Golledge Clay, Ellis David
机构信息
Department of Microbiology and Infectious Diseases, PathWest Laboratory Medicine, QEII medical centre, Hospital Avenue, Nedlands, Perth 6009, Australia.
Mycology Unit, SA Pathology at the Women's and Children's Hospital, Adelaide 5005, Australia.
出版信息
Med Mycol Case Rep. 2012 Nov 5;1(1):112-4. doi: 10.1016/j.mmcr.2012.10.005. eCollection 2012.
Abstract
Rare reports of infection with Arthrographis kalrae have often demonstrated a protracted clinical course. We describe refractory infection of the native knee with Arthrographis kalrae after a penetrating injury and Yttrium synovectomy, finally controlled with two stage joint revision and combination antifungal therapy. The paucity of worldwide data about such uncommon invasive fungal infections contributes to the diagnostic and therapeutic challenges of these cases.
摘要
关于卡尔氏节菱孢菌感染的罕见报告常常显示出病程迁延。我们描述了一例穿透性损伤和钇滑膜切除术后发生的卡尔氏节菱孢菌所致的原发性膝关节难治性感染，最终通过两阶段关节翻修术和联合抗真菌治疗得以控制。全球范围内关于此类罕见侵袭性真菌感染的数据匮乏，给这些病例的诊断和治疗带来了挑战。
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