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全膝关节置换术后人工关节感染:1例罕见病例报告

Prosthetic Joint Infection After Total Knee Arthroplasty: A Rare Case Report.

作者信息

Sarzaeem Mohammad Mahdi, Beigi Amin Norouz, Darestani Reza Tavakoli, Omrani Farzad Amuzadeh, Baroutkoub Mojtaba, Rasi Alireza Manafi

机构信息

Department of Orthopedic, School of Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Adv Biomed Res. 2022 Dec 26;11:111. doi: 10.4103/abr.abr_302_21. eCollection 2022.

DOI:10.4103/abr.abr_302_21
PMID:36798917
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9926025/
Abstract

In this article, a 75-year-old patient with pain in left knee and restricted range of motion following total knee arthroplasty (TKA) is presented. Serological evaluation and aspiration of knee joint suggested a fungal prosthetic joint infection. After the diagnosis was confirmed, treatment started with antifungal drugs, removing prosthesis, exhaustive debridement, and revision of TKA after efficient antifungal treatment. At one-year follow-up, she has a painless motion range of 10 to 90 degrees, and there was no recurrence of infection observed.

摘要

本文介绍了一位75岁的患者,其在全膝关节置换术(TKA)后出现左膝疼痛和活动范围受限。血清学评估和膝关节穿刺提示真菌性人工关节感染。确诊后,治疗首先使用抗真菌药物,移除假体,进行彻底清创,并在有效的抗真菌治疗后对TKA进行翻修。在一年的随访中,她的无痛活动范围为10至90度,未观察到感染复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692a/9926025/4bb8e17f452d/ABR-11-111-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692a/9926025/9d2ababc4d38/ABR-11-111-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692a/9926025/0dd1783ebfb1/ABR-11-111-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692a/9926025/4bb8e17f452d/ABR-11-111-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692a/9926025/9d2ababc4d38/ABR-11-111-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692a/9926025/0dd1783ebfb1/ABR-11-111-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692a/9926025/4bb8e17f452d/ABR-11-111-g003.jpg

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Hip and Knee Section, Fungal Periprosthetic Joint Infection, Diagnosis and Treatment: Proceedings of International Consensus on Orthopedic Infections.髋膝关节部分,真菌性人工关节感染,诊断与治疗:国际骨科感染共识会议论文集
J Arthroplasty. 2019 Feb;34(2S):S387-S391. doi: 10.1016/j.arth.2018.09.023. Epub 2018 Oct 19.
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Fungal periprosthetic joint infection of the hip: a systematic review.
髋关节真菌性人工关节感染:一项系统综述
Orthop Rev (Pavia). 2015 Mar 31;7(1):5748. doi: 10.4081/or.2015.5748. eCollection 2015 Mar 3.
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Orthop Rev (Pavia). 2015 Mar 9;7(1):5623. doi: 10.4081/or.2015.5623. eCollection 2015 Mar 3.
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