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膝关节化脓性关节炎:阿曼第三例输入性病例报告。

Septic Arthritis of the Knee Joint: Report of a Third Imported Case in Oman.

作者信息

Al Salti Maya, Al Subhi Mahmood, Al-Jardani Amina, Al-Rashdi Azza, Almayahi Zayid K

机构信息

Medical Microbiologist, Rustaq Hospital, MOH, South Batinah Governorate, Oman.

Medical Microbiologist, Central Public Health Laboratories, MOH, Muscat, Oman.

出版信息

Qatar Med J. 2022 Mar 4;2022(1):13. doi: 10.5339/qmj.2022.13. eCollection 2022.

DOI:10.5339/qmj.2022.13
PMID:35309111
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8900716/
Abstract

Melioidosis is a severe disease that can affect humans and animals. It is caused by which is an environmental aerobic gram negative bacteria. Despite being endemic in Southeast Asia and Northern Australia, many cases have been reported from different regions, including the Middle East. This is the third imported case of from Oman in a 46-year-old Indian male with left knee septic arthritis in less than three weeks after arrival in Oman. He underwent open arthrotomy, and his synovial fluid culture grew a bacteria with dry, pink colonies that were oxidase positive, susceptible to amoxicillin-clavulanic, identified by API NE as , and confirmed by molecular tests. This single case report highlights the urgent need to increase molecular diagnostic capacity and improve public health surveillance while maintaining a one health tripartite approach.

摘要

类鼻疽是一种可影响人类和动物的严重疾病。它由一种环境需氧革兰氏阴性菌引起。尽管在东南亚和澳大利亚北部为地方病,但包括中东在内的不同地区都报告了许多病例。这是一名46岁印度男性在抵达阿曼不到三周后,从阿曼输入的第三例类鼻疽病例,该患者患有左膝化脓性关节炎。他接受了切开手术,其滑膜液培养出一种细菌,该细菌具有干燥、粉红色菌落,氧化酶呈阳性,对阿莫西林-克拉维酸敏感,通过API NE鉴定为类鼻疽杆菌,并经分子检测确认。这一病例报告突出表明,迫切需要提高分子诊断能力并改善公共卫生监测,同时维持“同一健康”三方合作方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c220/8900716/072e4ed21ae0/qmj-2022-013-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c220/8900716/f0a735168af5/qmj-2022-013-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c220/8900716/4181bca49d51/qmj-2022-013-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c220/8900716/1ef07b1916fb/qmj-2022-013-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c220/8900716/18d8258ca8c4/qmj-2022-013-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c220/8900716/b57772336858/qmj-2022-013-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c220/8900716/072e4ed21ae0/qmj-2022-013-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c220/8900716/f0a735168af5/qmj-2022-013-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c220/8900716/4181bca49d51/qmj-2022-013-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c220/8900716/1ef07b1916fb/qmj-2022-013-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c220/8900716/18d8258ca8c4/qmj-2022-013-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c220/8900716/b57772336858/qmj-2022-013-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c220/8900716/072e4ed21ae0/qmj-2022-013-g006.jpg

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J Infect Public Health. 2020 May;13(5):824-826. doi: 10.1016/j.jiph.2020.01.310. Epub 2020 Mar 7.
2
Identification of Burkholderia pseudomallei by Use of the Vitek Mass Spectrometer.采用 Vitek 质谱仪鉴定类鼻疽伯克霍尔德菌。
J Clin Microbiol. 2019 Apr 26;57(5). doi: 10.1128/JCM.00081-19. Print 2019 May.
3
Melioidosis: Can Tropical Infections Present in Nonendemic Areas? A Case Report and Review of the Literature.
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Heliyon. 2024 Jun 19;10(12):e33283. doi: 10.1016/j.heliyon.2024.e33283. eCollection 2024 Jun 30.
类鼻疽:非流行地区会出现热带感染病吗?一例病例报告及文献综述
Saudi J Med Med Sci. 2018 May-Aug;6(2):108-111. doi: 10.4103/sjmms.sjmms_118_16. Epub 2018 Apr 16.
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Global Burden and Challenges of Melioidosis.类鼻疽的全球负担与挑战
Trop Med Infect Dis. 2018 Jan 29;3(1):13. doi: 10.3390/tropicalmed3010013.
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A simple laboratory algorithm for diagnosis of melioidosis in resource-constrained areas: a study from north-central Vietnam.一种用于资源有限地区诊断类鼻疽病的简单实验室算法:来自越南北中部的一项研究。
Clin Microbiol Infect. 2018 Jan;24(1):84.e1-84.e4. doi: 10.1016/j.cmi.2017.07.029. Epub 2017 Aug 3.
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