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难治性骨关节感染:聚焦于分枝杆菌和真菌感染

Difficult to treat osteoarticulars infections : Focus on Mycobacterial and Fungal infection.

作者信息

Yombi J C, Seyler L, Cornu O, Barbier O, Libouton X, Rodriguez-Villalobos H, Thienpont E

出版信息

Acta Orthop Belg. 2017 Mar;83(1):110-123.

PMID:29322903
Abstract

Bone and joint infections are rare but often devastating. While bacteria are most commonly encountered organisms, mycobacteria and fungi are less frequent. Management of the latter is often more complex, especially in the presence of foreign material. We will increasingly be faced with mycobacterial and fungal bone infections, as medical conditions and newer therapeutics lead to more immunosuppression. In this article, we will review osteomyelitis, septic arthritis and peri-prosthetic joint infections related to mycobacteria and fungi.

摘要

骨与关节感染虽罕见但往往具有毁灭性。虽然细菌是最常见的病原体,但分枝杆菌和真菌相对少见。后者的治疗通常更为复杂,尤其是在存在异物的情况下。随着医疗状况和新型治疗方法导致更多免疫抑制,我们将越来越多地面临分枝杆菌和真菌性骨感染。在本文中,我们将综述与分枝杆菌和真菌相关的骨髓炎、脓毒性关节炎及人工关节周围感染。

相似文献

1
Difficult to treat osteoarticulars infections : Focus on Mycobacterial and Fungal infection.难治性骨关节感染:聚焦于分枝杆菌和真菌感染
Acta Orthop Belg. 2017 Mar;83(1):110-123.
2
Fungal osteomyelitis and septic arthritis.真菌感染性骨髓炎和化脓性关节炎。
J Am Acad Orthop Surg. 2014 Jun;22(6):390-401. doi: 10.5435/JAAOS-22-06-390.
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Mycobacterium tuberculosis and Mycobacterium fortuitum osteomyelitis of the foot and septic arthritis of the ankle in an immunocompetent patient.一名免疫功能正常患者足部的结核分枝杆菌和偶然分枝杆菌骨髓炎以及踝关节化脓性关节炎。
Eur J Clin Microbiol Infect Dis. 2002 Jun;21(6):468-70. doi: 10.1007/s10096-002-0742-0. Epub 2002 Jun 11.
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Mycobacterial Musculoskeletal Infections.分枝杆菌性肌肉骨骼感染
Infect Dis Clin North Am. 2017 Jun;31(2):369-382. doi: 10.1016/j.idc.2017.01.007. Epub 2017 Mar 11.
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Mycobacterial osteomyelitis and arthritis.分枝杆菌性骨髓炎和关节炎。
Infect Dis Clin North Am. 2005 Dec;19(4):819-30. doi: 10.1016/j.idc.2005.07.008.
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The evolving role of direct amplification tests in diagnosing osteoarticular infections caused by mycobacteria and fungi.直接扩增检测在诊断由分枝杆菌和真菌引起的骨关节炎感染中不断演变的作用。
Curr Opin Rheumatol. 1999 Jul;11(4):289-92. doi: 10.1097/00002281-199907000-00011.
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Osteoarticular infections in young children: what has changed over the last years?幼儿骨关节感染:过去几年有哪些变化?
Swiss Med Wkly. 2014 Jun 12;144:w13971. doi: 10.4414/smw.2014.13971. eCollection 2014.
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Fungal Musculoskeletal Infections.真菌性肌肉骨骼感染
Infect Dis Clin North Am. 2017 Jun;31(2):353-368. doi: 10.1016/j.idc.2017.01.006.
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Septic Arthritis and Prosthetic Joint Infections in Older Adults.老年人的化脓性关节炎和人工关节感染。
Infect Dis Clin North Am. 2017 Dec;31(4):715-729. doi: 10.1016/j.idc.2017.07.013.
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[Osteomyelitis and septic arthritis. Vertebral osteomyelitis].[骨髓炎和脓毒性关节炎。脊椎骨髓炎]
Rev Prat. 2008 Nov 15;58(17):1943-51.

引用本文的文献

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Diagnostic value of metagenomic next-generation sequencing in patients with osteoarticular infections: a prospective study.宏基因组下一代测序在骨关节炎感染患者中的诊断价值:一项前瞻性研究。
Microbiol Spectr. 2025 Apr 10;13(5):e0106424. doi: 10.1128/spectrum.01064-24.
2
Metagenomic next-generation sequencing promotes pathogen detection over culture in joint infections with previous antibiotic exposure.宏基因组下一代测序技术在有先前抗生素暴露的联合感染中比培养更能促进病原体的检测。
Front Cell Infect Microbiol. 2024 Aug 26;14:1388765. doi: 10.3389/fcimb.2024.1388765. eCollection 2024.
3
Pathogenic Detection by Metagenomic Next-Generation Sequencing in Osteoarticular Infections.
宏基因组下一代测序在骨与关节感染中的病原检测。
Front Cell Infect Microbiol. 2020 Sep 17;10:471. doi: 10.3389/fcimb.2020.00471. eCollection 2020.