Young Juliana N, York John
Department of Internal Medicine, Burrell College of Osteopathic Medicine, Las Cruces, USA.
Department of Orthopedic Surgery, Rehoboth McKinley Christian Health Care Services, Gallup, USA.
Cureus. 2022 Mar 3;14(3):e22801. doi: 10.7759/cureus.22801. eCollection 2022 Mar.
A 71-year-old Caucasian male with a past medical history of Charcot-Marie-Tooth disease type 2 presented to our rural hospital for left knee pain, swelling, and difficulty walking. The patient had prior bilateral total knee replacements with a subsequent left knee revision due to infection. Joint aspiration was culture-positive and 16S recombinant DNA (rDNA) sequence positive for . The patient underwent a left total knee extraction with a temporary antibiotic spacer insertion. On discharge, the patient received an initial six weeks of ceftriaxone 2g IV. At the outpatient six-week follow-up, the patient was cleared of the infection. However, later complications and a subsequent infection arose.
一名71岁的白种男性，有2型夏科-马里-图思病的既往病史，因左膝疼痛、肿胀和行走困难前来我们的乡村医院就诊。该患者此前接受过双侧全膝关节置换术，随后因感染进行了左膝翻修手术。关节穿刺培养呈阳性，16S重组DNA（rDNA）序列检测也呈阳性。患者接受了左全膝关节切除术，并插入了临时抗生素间隔物。出院时，患者接受了为期六周的初始头孢曲松2g静脉注射治疗。在门诊六周随访时，患者的感染已清除。然而，后来出现了并发症以及后续感染。
