Hessler R, Lunebourg A, Fisher J-F, Trachsel S, Cometta A
Service de gastroentérologie et hépatologie, CHUV, Lausanne.
Rev Med Suisse. 2014 Nov 12;10(450):2164-7.
With the ageing of the population, articular prosthetic replacements are becoming more and more frequent. One of the most feared complications is prosthetic infection, mostly due to bacteria of the cutaneous flora. Listeria monocytogenes is rarely the cause. This paper describes the management of a hip prosthetic infection due to Listeria monocytogenes. The patient was cured with antimicrobial therapy and a two-stage exchange. This case report creates an opportunity to review the literature in the aim of determining the risk factors and the optimal care.
随着人口老龄化，关节假体置换越来越频繁。最令人担忧的并发症之一是假体感染，主要由皮肤菌群中的细菌引起。单核细胞增生李斯特菌很少是病因。本文描述了一例由单核细胞增生李斯特菌引起的髋关节假体感染的治疗情况。患者通过抗菌治疗和两阶段置换得以治愈。本病例报告为回顾文献以确定危险因素和最佳治疗方法创造了机会。
