Henry Michael W, Miller Andy O, Walsh Thomas J, Brause Barry D
Division of Infectious Diseases, Department of Medicine, Hospital for Special Surgery, Weill Cornell Medicine, 535 East 70th Street, New York, NY 10021, USA.
Division of Infectious Diseases, Department of Medicine, Hospital for Special Surgery, Weill Cornell Medicine, 535 East 70th Street, New York, NY 10021, USA; Department of Pediatrics, Weill Cornell Medicine, 1300 York Avenue, New York, NY 10065, USA; Department of Microbiology & Immunology, Weill Cornell Medicine, 1300 York Avenue, New York, NY 10065, USA.
Infect Dis Clin North Am. 2017 Jun;31(2):353-368. doi: 10.1016/j.idc.2017.01.006.
Fungi are rare but important causes of osteoarticular infections, and can be caused by a wide array of yeasts and molds. Symptoms are often subacute and mimic those of other more common causes of osteoarticular infection, which can lead to substantial delays in treatment. A high index of suspicion is required to establish the diagnosis. The severity of infection depends on the inherent pathogenicity of the fungi, the immune status of the host, the anatomic location of the infection, and whether the infection involves a foreign body. Treatment often involves a combination of surgical debridement and prolonged antifungal therapy.
真菌是骨关节炎感染的罕见但重要病因,可由多种酵母和霉菌引起。症状通常为亚急性,与其他更常见的骨关节炎感染病因的症状相似,这可能导致治疗的显著延迟。需要高度怀疑指数才能确立诊断。感染的严重程度取决于真菌的固有致病性、宿主的免疫状态、感染的解剖位置以及感染是否涉及异物。治疗通常包括手术清创和长期抗真菌治疗。