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大海捞针:一例罕见的化脓性关节炎病例

A Thorn in a Haystack: A Rare Case of Septic Arthritis.

作者信息

Leal-Dos-Santos Marta, Ferreira José N, Peres David, Palos Carlos

机构信息

Infectious Diseases Department, Hospital de Curry Cabral-Centro Hospitalar Universitário de Lisboa Central, Lisbon, PRT.

Orthopaedics Department, Hospital Beatriz Ângelo, Loures, PRT.

出版信息

Cureus. 2021 Dec 19;13(12):e20519. doi: 10.7759/cureus.20519. eCollection 2021 Dec.

Abstract

is a facultative anaerobe and environmental bacterium that could be a cause of opportunistic human infections, especially in wound infection with plant material. Arthritis or synovitis secondary to penetrating plant thorn injuries is not frequently reported. We present the case of a 35-year-old otherwise healthy male with a bramble thorn penetrating injury of the left knee. was isolated from the synovial fluid. The patient was treated with amoxicillin/clavulanate according to sensitivity testing. This case highlights the importance of precise and thorough medical history, especially for less common presentations, as well as source control.

摘要

是一种兼性厌氧菌和环境细菌,可能导致人类机会性感染,尤其是在植物材料引起的伤口感染中。继发于穿透性植物刺损伤的关节炎或滑膜炎并不常见。我们报告一例35岁的健康男性,其左膝被荆棘刺伤。从滑液中分离出了(未提及具体病菌)。根据药敏试验,患者接受阿莫西林/克拉维酸治疗。该病例强调了准确而全面的病史的重要性,特别是对于不太常见的表现,以及源头控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d02a/8765573/3c6389dfe919/cureus-0013-00000020519-i01.jpg

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