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[脆弱拟杆菌为一名儿童化脓性关节炎的病原体]

[Escherichia vulneris etiologic agent of septic arthritis in a child].

作者信息

Pérez Carla, Melo Paulo, Besomi Javier, Porte Lorena, Wilhelm Jan Paul

机构信息

Departamento de Pediatría, Facultad de Medicina, Universidad del Desarrollo, Santiago, Chile.

Laboratorio Clínico, Facultad de Medicina, Universidad del Desarrollo, Santiago, Chile.

出版信息

Rev Chilena Infectol. 2018;35(1):80-82. doi: 10.4067/s0716-10182018000100080.

Abstract

Escherichia vulneris is a gram-negative bacillus that belongs to the family Enterobacteriaceae, with a questioned pathogenic role. However, it has been confirmed as the cause of wound infections. We report the case of a 12-year-old girl, previously healthy, with a diagnosis of septic arthritis of the right knee, secondary to a spinal lesion. Escherichia vulneris, an unusual etiology of septic arthritis in children, was isolated in the joint fluid. This case is one of the first cases of septic arthritis due to E. vulneris, secondary to a plant-derived foreign body in a child, described in the medical literature. The importance of performing the microbiological study of joint fluid in patients with septic arthritis caused by a foreign body of plant-derived origin is emphasized.

摘要

脆弱埃希菌是一种革兰氏阴性杆菌,属于肠杆菌科,其致病作用存在疑问。然而,它已被确认为伤口感染的病因。我们报告一例12岁此前健康的女孩,诊断为右膝化脓性关节炎,继发于脊柱病变。在关节液中分离出脆弱埃希菌,这是儿童化脓性关节炎一种不常见的病因。该病例是医学文献中描述的因植物源性异物继发脆弱埃希菌导致儿童化脓性关节炎的首批病例之一。强调了对植物源性异物引起的化脓性关节炎患者进行关节液微生物学研究的重要性。

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