单核细胞增生李斯特菌所致人工关节感染的综述
Review of Prosthetic Joint Infection from Listeria monocytogenes.
作者信息
Bader Gilbert, Al-Tarawneh Mohammed, Myers James
机构信息
1 Division of Internal Medicine, East Tennessee State University , Johnson City, Tennessee.
2 Division of Infectious Diseases, East Tennessee State University , Johnson City, Tennessee.
出版信息
Surg Infect (Larchmt). 2016 Dec;17(6):739-744. doi: 10.1089/sur.2016.067. Epub 2016 Aug 11.
BACKGROUND
Prosthetic joint infection from Listeria monocytogenes is rare. We decided to shed light on this illness and review the reported cases to better understand its characteristics.
PATIENTS AND METHODS
We conducted a comprehensive review of the English literature using PubMed. We also included one case that we had managed.
RESULTS
We found 25 cases of prosthetic joint infection from L. monocytogenes reported individually and a retrospective study of 43 cases of joint and bone listerial infection, including 34 with prosthetic joint infection, conducted in France. We have described their clinical and para-clinical features and tried to elaborate on the pathophysiology, treatment, and prevention.
CONCLUSION
Prosthetic joint infection from L. monocytogenes is mainly late. Systemic inflammation may be absent. Although rare, it must be suspected in patients at high risk for both prosthetic joint and listerial infections. In addition, those patients must be instructed on appropriate preventive measures.
背景
由单核细胞增生李斯特菌引起的人工关节感染较为罕见。我们决定深入研究这种疾病，并回顾已报道的病例以更好地了解其特征。
患者与方法
我们使用PubMed对英文文献进行了全面回顾。我们还纳入了我们所诊治的1例病例。
结果
我们发现分别报道的25例由单核细胞增生李斯特菌引起的人工关节感染病例，以及在法国进行的一项对43例关节和骨骼李斯特菌感染的回顾性研究，其中包括34例人工关节感染病例。我们描述了它们的临床和辅助检查特征，并试图详细阐述其病理生理学、治疗和预防方法。
结论
由单核细胞增生李斯特菌引起的人工关节感染主要为迟发性感染。可能不存在全身炎症反应。虽然罕见，但对于人工关节和李斯特菌感染高危患者必须予以怀疑。此外，必须指导这些患者采取适当的预防措施。
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