Patil Sachin M, Beck Phillip Paul, Nelson Taylor B, Acevedo Andres Bran, Roland William
Department of Medicine, Division of Pulmonary, Critical Care and Environmental Medicine, University of Missouri Hospital and Clinic, One Hospital Dr, Columbia, MO 65212, USA.
Department of Medicine, Division of Infectious Disease, University of Missouri Hospital and Clinic, One Hospital Dr, Columbia, MO 65212, USA.
Case Rep Orthop. 2021 Jul 27;2021:3507672. doi: 10.1155/2021/3507672. eCollection 2021.
are ubiquitous and reside as skin and mucosa commensals in animals. They are considered contaminants in clinical specimens, but significant clinical data points to their virulence and pathogenic potential over the last two decades. can cause both community-acquired and nosocomial infections. () responsible for diphtheria has declined over the previous two decades with an increase in a similar clinical syndrome by () in Europe. As per recent studies, shares similar virulence factors with . has been implicated in airway infections, skin and soft tissue infections, lymphadenitis, wound infections, and rarely necrotizing fasciitis. Pet or farm animals have been the source of these infections to humans, as per recent reports. Strains can be either toxigenic or nontoxigenic. Due to recent advances, methods to characterize strains have become easier with mass spectrometry. Antimicrobial susceptibility testing is a must for definite treatment as can be resistant to first-line antibiotic therapy. If resources are available, it is prudent to find if there is any toxin production. Here, we describe a rural farmer in central Missouri presenting with acute-onset right knee pain diagnosed with right prepatellar bursitis with abscess due to infection. He recovered with surgical debridement and antimicrobial therapy. This is the first case of causing prepatellar bursitis with an abscess as per medical literature review.
它们无处不在，作为皮肤和黏膜共生菌存在于动物体内。它们在临床标本中被视为污染物，但大量临床数据表明在过去二十年中它们具有毒力和致病潜力。可引起社区获得性感染和医院感染。在过去二十年中，导致白喉的（某种细菌，原文此处未明确写出）有所减少，而在欧洲，一种类似临床综合征由（另一种细菌，原文此处未明确写出）导致的情况有所增加。根据最近的研究，（某种细菌，原文此处未明确写出）与（另一种细菌，原文此处未明确写出）具有相似的毒力因子。（某种细菌，原文此处未明确写出）与气道感染、皮肤和软组织感染、淋巴结炎、伤口感染有关，很少与坏死性筋膜炎有关。根据最近的报告，宠物或农场动物是人类这些感染的来源。菌株可分为产毒型或非产毒型。由于最近的进展，利用质谱法鉴定菌株的方法变得更加容易。抗菌药敏试验对于明确治疗是必需的，因为（某种细菌，原文此处未明确写出）可能对一线抗生素治疗耐药。如果有资源，谨慎的做法是检测是否产生毒素。在此，我们描述了密苏里州中部的一位农民，他因急性右膝疼痛就诊，被诊断为右髌前滑囊炎伴脓肿，病因是（某种细菌，原文此处未明确写出）感染。他通过手术清创和抗菌治疗后康复。根据医学文献综述，这是首例由（某种细菌，原文此处未明确写出）导致髌前滑囊炎伴脓肿的病例。
