Suarez Andres, Parsons Christopher, Parsons Eveline, Gowe Ivan, Vickery Stephen
Division of Infectious Diseases, Jupiter Medical Center, 1210 Old Dixie Hwy., Jupiter, FL, 33458, United States.
Pardee Hospital Center for Infectious Diseases, 705 6th Avenue West, Suite D, Hendersonville, NC 28739, United States.
IDCases. 2019 Sep 21;18:e00644. doi: 10.1016/j.idcr.2019.e00644. eCollection 2019.
species are common causes of diarrheal illness following consumption of contaminated food or unpasteurized dairy products, but subsequent dissemination and joint space infections are rare. We describe a patient who consumed undercooked chicken wings, with subsequent development of a febrile gastrointestinal illness marked by copious, watery stool output. This was followed by acute onset of pain and inability to bear weight on his right hip and leg where he had undergone prior arthroplasty. Synovial fluid cultures revealed , identified utilizing matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. The patient made a full recovery following hip joint space debridement with prosthesis retention, coupled with sequential intravenous and oral ciprofloxacin therapy. This case highlights both the potential for prosthetic joint infection with following diarrheal illness, as well as challenges in reducing contamination within commercially distributed chicken wings.
某些菌种是食用受污染食物或未杀菌乳制品后引发腹泻疾病的常见原因,但随后的传播和关节腔感染却很罕见。我们描述了一名患者,他食用了未煮熟的鸡翅,随后出现了以大量水样便为特征的发热性胃肠道疾病。接着,他之前接受过关节置换术的右髋和腿部突然疼痛,无法承重。滑膜液培养显示,通过基质辅助激光解吸/电离飞行时间质谱法鉴定出了[具体菌种]。该患者在保留假体的髋关节腔清创术后,结合序贯静脉和口服环丙沙星治疗,完全康复。这个病例既凸显了腹泻疾病后假体关节感染[具体菌种]的可能性,也凸显了减少商业销售鸡翅中[具体菌种]污染方面的挑战。