Athanasiou Vasileios, Leonidou Leonidia, Lekkou Alexandra, Antzoulas Panagiotis, Solou Konstantina, Diamantakis Georgios, Gliatis John
Consultant Orthopaedic Surgeon, Orthopaedic Department, Patras University Hospital, Patra, Greece.
Consultant in Internal Medicine, Department of Internal Medicine, Patras University Hospital, Patra, Greece.
Arthroplast Today. 2021 Dec 13;13:48-54. doi: 10.1016/j.artd.2021.10.016. eCollection 2022 Feb.
As reported in contemporary literature, prosthetic joint infection (PJI) caused by (LM) is a rare infection affecting mainly immunocompromised patients. It is considered a late complication occurring months or years after the arthroplasty that is treated with, or without, implant retention, in one-stage or two-stage surgical procedures, and long-term administration of antibiotics. We reviewed the published studies in the English language and present a case of a patient who underwent total hip arthroplasty (THA) and had been affected by this infection. Our patient was successfully treated with 3 months of antibiotics (ampicillin and TMP/SMX) and a two-stage surgical procedure. The success rates of conservative treatment and one-stage or two-stage procedures are dependent on appropriate patient selection and chronicity of the infection. Ιmmmunocompromised patients are susceptible to PJI caused by LM and should be advised that consumption of unpasteurized dairy products increases the risk of this atypical infection.
正如当代文献所报道的，由[具体细菌名称未给出]（LM）引起的人工关节感染（PJI）是一种罕见的感染，主要影响免疫功能低下的患者。它被认为是关节置换术后数月或数年出现的晚期并发症，可通过保留或不保留植入物，采用一期或二期手术程序，并长期使用抗生素进行治疗。我们回顾了英文发表的研究，并介绍了一例接受全髋关节置换术（THA）后感染此病的患者。我们的患者通过3个月的抗生素治疗（氨苄青霉素和复方磺胺甲恶唑）及二期手术程序成功治愈。保守治疗以及一期或二期手术程序的成功率取决于合适的患者选择和感染的病程。免疫功能低下的患者易患由LM引起的PJI，应告知他们食用未杀菌的乳制品会增加这种非典型感染的风险。
