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全膝关节置换术后,免疫功能正常的患者发生由[具体病原体未给出]引起的人工关节感染。

Prosthetic joint infection due to in an immunocompetent patient after a total knee replacement.

作者信息

Singh Joya, Antony Suresh J

机构信息

Department of Medicine, Burrell College of Osteopathic MedicineLas CrucesNew Mexico.

出版信息

Proc (Bayl Univ Med Cent). 2019 Oct 14;33(1):97-99. doi: 10.1080/08998280.2019.1674089. eCollection 2020 Jan.

Abstract

Nontuberculous mycobacteria (NTM) are a rare cause of prosthetic joint infection (PJI) that is documented to affect immunocompromised patients primarily. In this case report, we describe an immunocompetent patient with a rare case of PJI caused by after a total knee replacement. This patient is the eighth reported case of PJI caused by NTM and the first reported case in an immunocompetent individual. Because PJI caused by NTM is rare and difficult to treat, it is essential to include it in the differentials during initial workup of suspected PJI, especially in the context of negative preliminary bacterial cultures.

摘要

非结核分枝杆菌(NTM)是人工关节感染(PJI)的罕见病因,主要影响免疫功能低下的患者。在本病例报告中,我们描述了一名免疫功能正常的患者,在全膝关节置换术后发生了由NTM引起的罕见PJI病例。该患者是第八例报道的由NTM引起的PJI病例,也是首例报道的免疫功能正常个体中的病例。由于由NTM引起的PJI罕见且难以治疗,在疑似PJI的初始检查过程中将其纳入鉴别诊断至关重要,尤其是在初步细菌培养结果为阴性的情况下。

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本文引用的文献

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Prosthetic joint infection.人工关节感染
Clin Microbiol Rev. 2014 Apr;27(2):302-45. doi: 10.1128/CMR.00111-13.
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Cost analysis of debridement and retention for management of prosthetic joint infection.人工关节感染清创后保留治疗的成本分析。
Clin Microbiol Infect. 2013 Feb;19(2):181-6. doi: 10.1111/j.1469-0691.2011.03758.x. Epub 2012 Jan 20.

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