Laboratoire de Bactériologie, Institut de Biologie en Santé, Centre Hospitalier Universitaire d'Angers, Angers, France.
Service de Rhumatologie, Centre Hospitalier Universitaire d'Angers, Angers, France.
Int J Infect Dis. 2019 Oct;87:166-169. doi: 10.1016/j.ijid.2019.07.028. Epub 2019 Jul 30.
We report here the case of a Prosthetic Joint Infection (PJI) associated with Coxiella burnetii in a 62-year-old man with a revised total hip arthroplasty. The diagnosis was performed first by 16S rDNA sequencing on hip fluid aspirate, and confirmed by specific qPCR. Q fever has been reported in few cases of Prosthetic Joint Infections, often associated with chronic evolution and iterative surgeries. This case report alerts about such an unexpected diagnosis in a patient with no known risk factors.
我们在此报告一例与科氏立克次体相关的人工关节感染(PJI)病例,该患者为 62 岁男性,曾行髋关节翻修术。髋关节液抽吸物的 16S rDNA 测序首先做出了该诊断,特异性 qPCR 进一步证实了该诊断。已有少数人工关节感染病例报道与 Q 热有关,常与慢性病程和反复手术相关。该病例报告提示了此类无已知危险因素患者的这种意外诊断。