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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.

DOI:10.7759/cureus.20519
PMID:35070554
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8765573/
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/e6f82c44f356/cureus-0013-00000020519-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d02a/8765573/3c6389dfe919/cureus-0013-00000020519-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d02a/8765573/b5695d1fb4ab/cureus-0013-00000020519-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d02a/8765573/e6f82c44f356/cureus-0013-00000020519-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d02a/8765573/3c6389dfe919/cureus-0013-00000020519-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d02a/8765573/b5695d1fb4ab/cureus-0013-00000020519-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d02a/8765573/e6f82c44f356/cureus-0013-00000020519-i03.jpg

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1
A Thorn in a Haystack: A Rare Case of Septic Arthritis.大海捞针:一例罕见的化脓性关节炎病例
Cureus. 2021 Dec 19;13(12):e20519. doi: 10.7759/cureus.20519. eCollection 2021 Dec.
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Septic arthritis of the knee due to : look for the thorn.因……导致的膝关节化脓性关节炎:寻找刺状物。
J Bone Jt Infect. 2020 Dec 15;6(3):51-55. doi: 10.5194/jbji-6-51-2020. eCollection 2020.
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Wound infection by Pantoea agglomerans after penetrating plant injury.穿透性植物损伤后聚团泛菌引起的伤口感染。
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[Thorn synovitis: Report of 2 cases].
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本文引用的文献

1
Knee Septic Arthritis after Palm Tree Thorn Injury: A Case Report.棕榈树刺刺伤后发生的膝关节化脓性关节炎:一例报告
J Orthop Case Rep. 2021 Mar;11(3):13-15. doi: 10.13107/jocr.2021.v11.i03.2066.
2
Septic arthritis of the knee due to : look for the thorn.因……导致的膝关节化脓性关节炎:寻找刺状物。
J Bone Jt Infect. 2020 Dec 15;6(3):51-55. doi: 10.5194/jbji-6-51-2020. eCollection 2020.
3
Pantoea agglomerans: a mysterious bacterium of evil and good. Part III. Deleterious effects: infections of humans, animals and plants.成团泛菌:一种亦正亦邪的神秘细菌。第三部分。有害影响:对人类、动物和植物的感染
Ann Agric Environ Med. 2016 Jun 2;23(2):197-205. doi: 10.5604/12321966.1203878.
4
[Thorn synovitis: Report of 2 cases].
Rev Med Interne. 2015 Jun;36(6):426-9. doi: 10.1016/j.revmed.2014.05.021. Epub 2014 Jun 26.
5
Case report: subacute synovitis of the knee after a rose thorn injury: unusual clinical picture.病例报告:玫瑰刺刺伤后膝关节亚急性滑膜炎:不寻常的临床表现。
Clin Orthop Relat Res. 2008 Dec;466(12):3138-42. doi: 10.1007/s11999-008-0482-2. Epub 2008 Sep 5.
6
Isolation of Pantoea agglomerans in two cases of septic monoarthritis after plant thorn and wood sliver injuries.在两例植物刺和木刺损伤后发生的败血性单关节炎病例中分离出成团泛菌。
J Clin Microbiol. 2000 Jan;38(1):460-1. doi: 10.1128/JCM.38.1.460-461.2000.