Compton Jocelyn, Wynn Malynda, Willey Michael C, Sekar Poorani
Department of Orthopedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
Department of Orthopedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
BMJ Case Rep. 2019 Nov 26;12(11):e231206. doi: 10.1136/bcr-2019-231206.
is a rare monomicrobial cause of infection in humans. has never before been reported as the sole isolate from an infected open tibia fracture. We present a case of infection after a type III open tibia fracture. The patient was initially treated with irrigation and debridement, open reduction internal fixation and primary wound closure. However, after 8 weeks, he developed a draining wound and infection at the fracture site. He required a repeat debridement, hardware removal, external fixation and 6 weeks of intravenous ceftriaxone for treatment. At 2-year follow-up, he remains infection free, asymptomatic and continues to work with excellent functional outcomes. This case adds to the growing literature that evidences as an organism that can be pathogenic, virulent and cause monomicrobial infection.
是人类感染中一种罕见的单一微生物病因。此前从未有过作为感染开放性胫骨骨折的唯一分离菌株的报道。我们报告一例III型开放性胫骨骨折后发生感染的病例。患者最初接受了冲洗清创、切开复位内固定和一期伤口缝合治疗。然而，8周后，他在骨折部位出现了引流伤口和感染。他需要再次清创、取出内固定物、进行外固定，并静脉注射头孢曲松6周进行治疗。在2年的随访中，他没有感染，无症状，继续工作，功能恢复良好。该病例增加了越来越多的文献证据，证明作为一种病原体，具有致病性、毒性并可引起单一微生物感染。
