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多杀巴斯德菌:置换关节的噩梦及挽救关节面临的挑战。

Pasteurella multocida: a nightmare for a replaced joint and the challenge to save it.

作者信息

Vélez Felipe A, Laboy Ortíz Iván Enrique, López Reynaldo, Sánchez Alfredo, Colón Miguel, Hernán Martínez José

出版信息

Bol Asoc Med P R. 2014;106(1):43-5.

Abstract

Pasteurella multocida a small gram-negative coccobacilli is primarily found as normal flora of cats and dogs. These organisms can cause a variety of infections in humans, usually the result of scratches, bites and licks by percutaneous inoculation of the organism. Most cases of septic arthritis involve a cat or dog bite distal to the involved joint without direct penetrating injury to the joint. On scenarios were Pasteurella infection is suspected within a prosthetic joint, aggressive surgical debridement and/or removal of the prosthesis with intravenous antibiotics is recommended. Prosthetic joint infections secondary to animal bites are an extremely rare complication and few cases have been reported in the literature. This is a case report of a patient that suffered a cat's bite of his right prosthetic knee and against all odd was able to save it without surgical intervention.

摘要

多杀巴斯德菌是一种革兰氏阴性短小杆菌,主要作为猫和狗的正常菌群存在。这些微生物可导致人类发生多种感染,通常是通过皮肤接种该微生物,由抓伤、咬伤和舔舐引起。大多数化脓性关节炎病例涉及关节远端的猫或狗咬伤,关节无直接穿透伤。在怀疑人工关节感染多杀巴斯德菌的情况下,建议积极进行手术清创和/或取出假体并静脉使用抗生素。动物咬伤继发的人工关节感染是一种极其罕见的并发症,文献中报道的病例很少。本文报告一例患者,其右人工膝关节被猫咬伤,尽管困难重重,但未通过手术干预成功保住了关节。

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