Kelly Blane C, Constantinescu David S, Foster William
Virginia Commonwealth University Health System, Richmond, VA, USA.
Geriatr Orthop Surg Rehabil. 2019 Apr 25;10:2151459318825199. doi: 10.1177/2151459318825199. eCollection 2019.
A periprosthetic joint infection (PJI) is a potentially devastating complication following an arthroplasty procedure. There are many organisms that commonly cause this complication; in this case report, we will discuss a PJI caused by an unusual bacteria found in the mouths of domestic pets.
To present a case report of a patient with a periprosthetic hip infection from and review the literature.
We present a case of PJI in an immunocompetent woman who had undergone a total hip arthroplasty. The patient was doing well postoperatively for many years until she was bitten on the foot by a domestic canine. Patient diagnosed using Musculoskeletal Infection Society criteria, then treated with explant of the hip prosthesis, irrigation and debridement, placement of an antibiotic cement spacer, and a 6-week course of intravenous antibiotics.
Unfortunately, while awaiting replant, this patient had a massive myocardial infarction and died.
Current literature suggests treating canine bites with amoxicillinas well as a discussion with patients pre-/postoperatively from a lower extremity arthroplasty specialist.
is a rare cause of infection, even more unusual in an immunocompetent patient. This study highlights the importance of considering as a cause of PJI, regardless of the immunologic status of the patient.
人工关节周围感染（PJI）是关节置换术后一种潜在的毁灭性并发症。有许多微生物通常会引发这种并发症；在本病例报告中，我们将讨论由家养宠物口腔中发现的一种不常见细菌引起的PJI。
呈现一例人工髋关节感染患者的病例报告并回顾相关文献。
我们报告一例免疫功能正常的女性患者发生的PJI，该患者接受了全髋关节置换术。患者术后多年情况良好，直到她被一只家养犬咬伤足部。根据肌肉骨骼感染学会标准对患者进行诊断，随后进行髋关节假体取出、冲洗和清创、置入抗生素骨水泥间隔物，并进行为期6周的静脉抗生素治疗。
不幸的是，在等待再次植入期间，该患者发生大面积心肌梗死并死亡。
当前文献建议用阿莫西林治疗犬咬伤，并由下肢关节置换专科医生在术前/术后与患者进行讨论。
[此处原文缺失具体细菌名称]是一种罕见的感染原因，在免疫功能正常的患者中更为不寻常。本研究强调了无论患者免疫状态如何，都应将[此处原文缺失具体细菌名称]视为PJI病因的重要性。
