Hollnagel Katharine, Willen Jacob, Ellis Michael, Soleimanifard Yalda, Booth Robert, Nandi Sumon
Department of Orthopaedic Surgery, The University of Toledo Medical Center, USA.
Department of Infectious Disease, The University of Toledo Medical Center, USA.
Case Rep Orthop. 2020 Mar 5;2020:1392182. doi: 10.1155/2020/1392182. eCollection 2020.
While and other species were historically considered contaminants, they are recently being identified as pathogens with increasing frequency. . We report the case of a 78-year-old gentleman with a three-year history of knee pain and established diagnosis of osteoarthritis referred for consideration for total knee arthroplasty. He had no knee pain with passive range-of-motion. Plain films demonstrated bony erosions atypical for osteoarthritis. Joint aspiration white blood cell count was 30,548/mm, but multiple cultures were positive for . The infection was successfully treated with open irrigation and debridement, complete synovectomy, and six weeks of intravenous daptomycin.
To our knowledge, this is the first report of chronic septic arthritis of a native joint and only the third case of septic arthritis of the knee.. The infection was successfully treated with open irrigation and debridement, complete synovectomy, and six weeks of intravenous daptomycin. . The infection was successfully treated with open irrigation and debridement, complete synovectomy, and six weeks of intravenous daptomycin.
虽然[具体物种]和其他物种在历史上被视为污染物，但最近它们越来越频繁地被确认为病原体。我们报告了一例78岁男性患者，有三年膝关节疼痛病史，已确诊为骨关节炎，因考虑行全膝关节置换术前来就诊。他在被动活动范围内无膝关节疼痛。X线平片显示出不符合骨关节炎特征的骨质侵蚀。关节穿刺白细胞计数为30,548/mm³，但多次培养均显示[具体物种]呈阳性。通过开放冲洗清创、彻底滑膜切除术以及六周的静脉注射达托霉素，感染得到了成功治疗。
据我们所知，这是首例关于天然关节慢性[具体物种]败血症性关节炎的报告，也是仅有的第三例膝关节[具体物种]败血症性关节炎病例。通过开放冲洗清创、彻底滑膜切除术以及六周的静脉注射达托霉素，感染得到了成功治疗。通过开放冲洗清创、彻底滑膜切除术以及六周的静脉注射达托霉素，感染得到了成功治疗。
