Penn State College of Medicine, Department of Internal Medicine, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania.
Department of Internal Medicine, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania.
JBJS Case Connect. 2020 Jan-Mar;10(1):e0266. doi: 10.2106/JBJS.CC.19.00226.
We describe the case of an 85-year-old woman who presented with worsening right hip pain after a conversion hip replacement. Subsequent imaging demonstrated a gas-containing collection in the lateral thigh. She was taken to the operating room for irrigation and debridement, where intraoperative cultures returned positive for Clostridium difficile. Surgical management was followed by a prolonged course of antibiotics.
Clostridium difficile as the etiology of infection in a conversion arthroplasty is exceedingly rare. Orthopaedic surgeons and infectious disease specialists should consider C. diff as a potential cause of infection in conversion hip arthroplasty because management options will need to be tailored.
我们描述了一位 85 岁女性的病例，她在髋关节置换术后出现右侧髋部疼痛加重。随后的影像学检查显示大腿外侧有含气性积液。她被送往手术室进行灌洗和清创术，术中培养结果为艰难梭菌阳性。手术治疗后，她接受了长时间的抗生素治疗。
艰难梭菌是翻修关节置换术后感染的极罕见病因。骨科医生和传染病专家应考虑艰难梭菌是翻修髋关节置换术后感染的潜在原因，因为需要调整治疗方案。
