全膝关节置换术中的莱姆假体周围关节感染
Lyme periprosthetic joint infection in total knee arthroplasty.
作者信息
Adrados Murillo, Wiznia Daniel Howard, Golden Marjorie, Pelker Richard
机构信息
Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, CT, USA.
Department of Infectious Disease, Yale University School of Medicine, New Haven, CT, USA.
出版信息
Arthroplast Today. 2018 Jan 19;4(2):158-161. doi: 10.1016/j.artd.2017.12.003. eCollection 2018 Jun.
Abstract
Lyme arthritis, caused by the spirochete sensu stricto, is a common tick-borne illness in New England and the upper Midwest. Most often, the disease affects the knee and has typically been reported as a cause of native joint infection. There has been only 1 case of Lyme periprosthetic joint infection (associated with a total knee arthroplasty) reported in the literature, and to our knowledge, no other reported cases of Lyme periprosthetic joint infections exist. In this article, we report on 2 patients diagnosed with prosthetic joint infections who were subsequently found to have Lyme prosthetic joint infections, with as the infectious organism. We discuss the medical and surgical management of these patients.
摘要
莱姆关节炎由狭义螺旋体引起，是新英格兰和中西部上游地区常见的蜱传疾病。该病最常累及膝关节，通常被报道为原发性关节感染的病因。文献中仅报道过1例莱姆人工关节感染（与全膝关节置换术相关），据我们所知，不存在其他关于莱姆人工关节感染的报道病例。在本文中，我们报告了2例被诊断为人工关节感染的患者，随后发现他们患有莱姆人工关节感染，病原体为[原文此处缺失具体病原体名称]。我们讨论了这些患者的内科和外科治疗方法。
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