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作为人工膝关节置换术后感染的罕见病原体:一例报告及文献综述

as a Rare Causative Agent of Periprosthetic Total Knee Arthroplasty Infections: A Case Report and Literature Review.

作者信息

Kocazeybek Emre, Demirel Mehmet, Ersin Mehmet, Ergin Omer Naci, Sadic Betul, Yavuz Serap Simsek, Asik Mehmet

机构信息

Department of Orthopedics and Traumatology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.

Department of Infectious Diseases, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.

出版信息

J Lab Physicians. 2020 Dec;12(3):219-221. doi: 10.1055/s-0040-1720942. Epub 2020 Nov 23.

Abstract

We present a case of in a prosthetic knee infection following total knee replacement for the first time. A 69-year-old female was prediagnosed with prosthetic knee infection, and a two-stage revision arthroplasty was applied. was cultured by matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) from the synovial fluid aspirates. Penicillin G and gentamicin had been administered. One year postoperatively, a scintigraphy showed no recurrence. may be missed in culture negative patients with knee or hip arthroplasty. They should be carefully evaluated if they have undergone recent dental procedures.

摘要

我们首次报告了一例全膝关节置换术后人工膝关节感染的病例。一名69岁女性被初步诊断为人工膝关节感染,并接受了两阶段翻修关节成形术。通过基质辅助激光解吸电离飞行时间质谱(MALDI-TOF MS)从滑膜液抽吸物中培养出[具体细菌名称未给出]。已给予青霉素G和庆大霉素。术后一年,骨闪烁显像显示无复发。[具体细菌名称未给出]在膝关节或髋关节置换术的培养阴性患者中可能被漏诊。如果他们近期接受过牙科手术,则应仔细评估。

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