尽管进行了抗生素预防，牙科清洁后仍发生人工关节感染。
Prosthetic Joint Infection following Dental Cleaning despite Antibiotic Prophylaxis.
作者信息
Olson Lyra B, Turner Daniel J, Cox Gary M, Hostler Christopher J
机构信息
Duke University School of Medicine, Durham, USA.
Department of Medicine, Duke University School of Medicine, Durham, USA.
出版信息
Case Rep Infect Dis. 2019 Apr 21;2019:8109280. doi: 10.1155/2019/8109280. eCollection 2019.
Abstract
We present the case of a 92-year-old man with septic arthritis of a prosthetic hip joint due to one week following a high-risk dental procedure despite preprocedure amoxicillin. is a commensal bacterium of the human oral mucosa that is an uncommon cause of bacteremia. has previously been described as a causative agent of infective endocarditis and spontaneous bacterial peritonitis but was only recently recognized as a cause of prosthetic joint infection. This case highlights the potential pathogenicity of a common commensal bacteria and the questionable utility of prophylactic antibiotics before dental procedures to prevent periprosthetic joint infections.
摘要
我们报告了一例92岁男性患者，尽管术前使用了阿莫西林，但在进行高风险牙科手术后一周仍发生了人工髋关节假体感染性关节炎。是人类口腔黏膜的共生菌，是菌血症的罕见病因。此前曾被描述为感染性心内膜炎和自发性细菌性腹膜炎的病原体，但直到最近才被确认为人工关节感染的病因。该病例凸显了一种常见共生菌的潜在致病性，以及牙科手术前预防性使用抗生素预防人工关节周围感染的效用存疑。
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