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经皮椎体后凸成形术后不常见的解糖葡萄球菌性脊椎骨髓炎:一例报告。

An unusual Staphylococcus saccharolyticus spondylodiscitis post kyphoplasty: a case report.

机构信息

Département de Rhumatologie, Université Cote d'Azur, CHU de Nice, Nice, France.

Laboratoire de Bactériologie, Hôpital L'archet 2, CHU de Nice, Nice, France.

出版信息

BMC Infect Dis. 2020 Jul 23;20(1):539. doi: 10.1186/s12879-020-05263-5.

Abstract

BACKGROUND

Staphylococcus saccharolyticus is a rarely encountered coagulase-negative, which grows slowly and its strictly anaerobic staphylococcus from the skin. It is usually considered a contaminant, but some rare reports have described deep-seated infections. Virulence factors remain poorly known, although, genomic analysis highlights pathogenic potential.

CASE PRESENTATION

We report a case of Staphylococcus saccharolyticus spondylodiscitis that followed kyphoplasty, a procedure associated with a low rate but possible severe infectious complication (0.46%), and have reviewed the literature. This case specifically stresses the risk of healthcare-associated S. saccharolyticus infection in high-risk patients (those with a history of alcoholism and heavy smoking).

CONCLUSION

S. saccharolyticus infection is difficult to diagnose due to microbiological characteristics of this bacterium; it requires timely treatment, and improved infection control procedure should be encouraged for high-risk patients.

摘要

背景

解糖葡萄球菌是一种罕见的凝固酶阴性、生长缓慢的严格厌氧菌,来自皮肤。它通常被认为是一种污染物,但一些罕见的报告描述了深部感染。毒力因子仍然知之甚少,尽管基因组分析突出了其致病潜力。

病例介绍

我们报告了一例解糖葡萄球菌性脊椎炎病例,该病例继发于椎体后凸成形术,这是一种与低但可能严重的感染并发症(0.46%)相关的手术,我们还回顾了文献。该病例特别强调了在高危患者(有酗酒和大量吸烟史的患者)中与医疗保健相关的解糖葡萄球菌感染的风险。

结论

由于该细菌的微生物学特征,解糖葡萄球菌感染的诊断较为困难;它需要及时治疗,应鼓励对高危患者采取更好的感染控制措施。

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