在大力使用牙线清洁的情况下发生的戈登氏链球菌人工关节感染。
Streptococcus gordonii prosthetic joint infection in the setting of vigorous dental flossing.
作者信息
Klein Rick, Dababneh Ala S, Palraj Bharath Raj Varatharaj
机构信息
Mayo Clinic Health System, Lacrosse, Wisconsin, USA.
Department of Infectious Diseases, Mayo Clinic, Rochester, Minnesota, USA.
出版信息
BMJ Case Rep. 2015 Aug 11;2015:bcr2015210695. doi: 10.1136/bcr-2015-210695.
Abstract
A 65-year-old woman with osteoarthritis, who underwent knee replacement 5 years prior, developed sudden onset knee pain and swelling. She had voluntarily starting a vigorous dental flossing regimen prior to the onset of symptoms. The patient underwent right knee arthrotomy, irrigation and debridement of right total knee arthroplasty and exchange of polyethylene with retention of the prosthesis. Intraoperative cultures grew Streptococcus gordonii. She was treated with 6 weeks of ceftriaxone and was later placed on oral antibiotic suppression.
摘要
一名65岁患骨关节炎的女性，5年前接受了膝关节置换手术，现突然出现膝关节疼痛和肿胀。在症状出现前，她自行开始了严格的牙线清洁方案。该患者接受了右膝关节切开术、右全膝关节置换术的冲洗和清创以及聚乙烯的置换，假体得以保留。术中培养出戈登链球菌。她接受了6周的头孢曲松治疗，后来接受口服抗生素抑制治疗。
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