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由[病原体未提及]引起的急性血源性人工髋关节周围感染,经清创、抗生素治疗及保留植入物成功治愈:一例报告及骨关节感染文献综述

Acute Hematogenous Periprosthetic Hip Infection by , Successfully Treated with Debridement, Antibiotics and Implant Retention: A Case Report and Literature Review of Osteoarticular Infections.

作者信息

Pardo-Pol Albert, Pérez-Prieto Daniel, Alier Albert, Ilzarbe Lucas, Sorlí Lluïsa, Puig Lluis, Martínez-Díaz Santos, Gómez-Junyent Joan

机构信息

Department of Orthopedics, Hospital del Mar, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Universitat Autònoma de Barcelona (UAB), CEXS-Universitat Pompeu Fabra, 08003 Barcelona, Spain.

Department of Gastroenterology, Hospital del Mar, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Universitat Autònoma de Barcelona (UAB), CEXS-Universitat Pompeu Fabra, 08003 Barcelona, Spain.

出版信息

Trop Med Infect Dis. 2022 Aug 18;7(8):191. doi: 10.3390/tropicalmed7080191.

DOI:10.3390/tropicalmed7080191
PMID:36006283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9413464/
Abstract

is a facultative anaerobic, catalase-negative and non-spore forming Gram-positive cocci. It can be found as part of the normal oropharyngeal flora, in the gastrointestinal tract and the female genital tract. However, it can be a causal agent of infections such as endocarditis, meningitis or brain abscesses, and very rarely can cause osteoarticular infections. Herein, a case report of an acute hematogenous prosthetic hip infection caused by , successfully treated with a DAIR and beta-lactam antibiotic therapy, is presented. We provide a literature review of the other orthopedic-related infections caused by this microorganism.

摘要

是兼性厌氧、过氧化氢酶阴性且不形成芽孢的革兰氏阳性球菌。它可作为正常口咽菌群的一部分存在于胃肠道和女性生殖道中。然而,它可能是感染的病原体,如心内膜炎、脑膜炎或脑脓肿,并且非常罕见地可引起骨关节炎感染。本文介绍了一例由 引起的急性血源性人工髋关节感染的病例报告,该病例通过清创、冲洗和保留植入物(DAIR)及β-内酰胺类抗生素治疗成功治愈。我们提供了关于这种微生物引起的其他骨科相关感染的文献综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/633e/9413464/c274408decaf/tropicalmed-07-00191-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/633e/9413464/a00336b761b0/tropicalmed-07-00191-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/633e/9413464/c274408decaf/tropicalmed-07-00191-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/633e/9413464/a00336b761b0/tropicalmed-07-00191-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/633e/9413464/c274408decaf/tropicalmed-07-00191-g002.jpg

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本文引用的文献

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The EBJIS definition of periprosthetic joint infection.EBJIS 定义的人工关节假体周围感染。
Bone Joint J. 2021 Jan;103-B(1):18-25. doi: 10.1302/0301-620X.103B1.BJJ-2020-1381.R1.
2
Periprosthetic joint infection: current concepts and outlook.人工关节周围感染:当前概念与展望
EFORT Open Rev. 2019 Jul 29;4(7):482-494. doi: 10.1302/2058-5241.4.180092. eCollection 2019 Jul.
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Infections in Cirrhosis.肝硬化中的感染
Curr Treat Options Gastroenterol. 2019 Jun;17(2):254-270. doi: 10.1007/s11938-019-00229-2.
4
Clinical outcome and risk factors for failure in late acute prosthetic joint infections treated with debridement and implant retention.保留假体清创术治疗晚期急性人工关节感染失败的临床转归和危险因素
J Infect. 2019 Jan;78(1):40-47. doi: 10.1016/j.jinf.2018.07.014. Epub 2018 Aug 7.
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Bacterial translocation in patients with liver cirrhosis: physiology, clinical consequences, and practical implications.肝硬化患者的细菌易位:生理学、临床后果及实际意义。
Expert Rev Gastroenterol Hepatol. 2018 Jul;12(7):641-656. doi: 10.1080/17474124.2018.1481747. Epub 2018 Jun 6.
6
Septic arthritis of the knee due to Gemella morbillorum.由麻疹孪生球菌引起的膝关节化脓性关节炎。
Int J Rheum Dis. 2018 May;21(5):1146-1147. doi: 10.1111/1756-185X.13293. Epub 2018 Apr 17.
7
Diagnosis and management of prosthetic joint infection: clinical practice guidelines by the Infectious Diseases Society of America.人工关节感染的诊断和治疗:美国传染病学会临床实践指南。
Clin Infect Dis. 2013 Jan;56(1):e1-e25. doi: 10.1093/cid/cis803. Epub 2012 Dec 6.
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Gemella morbillorum: an underestimated aetiology of central nervous system infection?麻疹孪生球菌:中枢神经系统感染的一种被低估的病因?
J Med Microbiol. 2009 Dec;58(Pt 12):1652-1656. doi: 10.1099/jmm.0.013367-0. Epub 2009 Aug 27.
9
Infection of a total hip arthroplasty due to Gemella morbillorum.因麻疹孪生球菌导致的全髋关节置换术感染。
Enferm Infecc Microbiol Clin. 2007 Oct;25(8):553. doi: 10.1157/13109993.
10
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Am J Orthop (Belle Mead NJ). 2007 Jan;36(1):E7-9.