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全膝关节置换术后人型支原体感染:病例报告及文献复习

The infection of Mycoplasma hominis after total knee replacement: Case report and literature review.

作者信息

Qiu Hong-Jiu, Lu Wei-Ping, Li Min, Wang Zi-Ming, Du Quan-Yin, Wang Ai-Min, Xiong Yan

机构信息

Department of Orthopedics, Daping Hospital, Third Military Medical University, Chongqing 400042, China.

Department of Clinical Laboratory, Daping Hospital, Third Military Medical University, Chongqing 400042, China.

出版信息

Chin J Traumatol. 2017 Aug;20(4):243-245. doi: 10.1016/j.cjtee.2017.04.005. Epub 2017 Jun 22.

Abstract

The Mycoplasma hominis infection is a rare postoperative complication after joint replacement. Based on our knowledge, there were only two cases reported by Korea all over the world currently. A case of postoperative Mycoplasma hominis infection after total knee replacement in our hospital was reported in this article. It was confirmed through mass spectrometer and Mycoplasma cultivation and treated by the first stage debridement, polyethylene insert replacement, and then drainage and irrigation combined with sensitive antibiotics after the operation. We observed that the C reactive protein (CRP) level correlates with the development of disease, while the erythrocyte sedimentation rate (ESR) remains at a high level, indicating the relevance between the Mycoplasma hominis infection caused by knee joint replacement and CRP. This study aims to report the case and review relevant literature.

摘要

人型支原体感染是关节置换术后一种罕见的并发症。据我们所知,目前全球仅有韩国报道过两例。本文报道了我院一例全膝关节置换术后人型支原体感染的病例。通过质谱仪和支原体培养得以确诊,并在一期清创、更换聚乙烯内衬后,术后再行引流冲洗并联合使用敏感抗生素进行治疗。我们观察到C反应蛋白(CRP)水平与病情发展相关,而红细胞沉降率(ESR)一直处于较高水平,提示膝关节置换所致的人型支原体感染与CRP之间存在关联。本研究旨在报告该病例并复习相关文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b75/5555244/d438e1c9cd3f/gr1.jpg

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