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一例擦伤、人工肩关节与一只具有舔舐倾向的猫:关节播散的病例报告及文献综述

An Abrasion, a Prosthetic Shoulder, and a Cat with a Licking Tendency: Case Report and Literature Review of Joint Seeding.

作者信息

Abel William F, Eckman Christopher S, Summers Robert P, Sessions William S, Schnee Amanda E

机构信息

University of South Carolina School of Medicine Greenville, 607 Grove Rd., Greenville, SC 29605, USA.

Prisma Health Upstate Department of Medicine, 701 Grove Rd., Greenville, SC 29605, USA.

出版信息

Case Rep Infect Dis. 2020 Nov 18;2020:2842315. doi: 10.1155/2020/2842315. eCollection 2020.

Abstract

is a pathogen well known for its zoonotic transmission, most commonly by cats and dogs. When bacteremia ensures from an infection, patients with foreign objects present in their bodies, including prosthetic joints and mesh implants, become vulnerable to seeding. There have been multiple documented cases in which bacteremia has resulted in infection of both native and prosthetic joints. Furthermore, cases have been documented in which patients with bacteremia have developed meningitis and neurological complications. Here, we present a patient with multiple comorbidities including multifactorial immunocompromise, advanced age, and multiple prosthetic joints who developed prosthetic joint infection and spinal osteomyelitis after the development of bacteremia. Aggressive treatment was undertaken given her risk factors, and a combination of antibiotics and surgery was utilized, with the patient making a full recovery.

摘要

是一种以人畜共患病传播而闻名的病原体,最常见的传播途径是通过猫和狗。当菌血症由感染引发时,体内存在异物(包括人工关节和网状植入物)的患者容易发生播散。已有多例记录在案的病例,其中菌血症导致了天然关节和人工关节的感染。此外,也有记录显示菌血症患者出现了脑膜炎和神经并发症。在此,我们报告一名患有多种合并症的患者,包括多因素免疫功能低下、高龄以及多个人工关节,该患者在发生菌血症后出现了人工关节感染和脊柱骨髓炎。鉴于其危险因素,采取了积极的治疗措施,采用了抗生素和手术相结合的方法,患者完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06ad/7688375/0803f340073b/CRIID2020-2842315.001.jpg

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