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开放性肩袖修复术后突尼斯沙利亚菌(原放线菌属)感染

Schaalia (Formerly Actinomyces) turicensis Infection Following Open Rotator Cuff Repair.

作者信息

Cronin John T, Richards Brett W, Skedros John G

机构信息

Shoulder & Elbow, Utah Orthopaedic Specialists, Salt Lake City, USA.

Department of Orthopaedics, University of Utah, Salt Lake City, USA.

出版信息

Cureus. 2023 Jan 26;15(1):e34242. doi: 10.7759/cureus.34242. eCollection 2023 Jan.

Abstract

We report the case of a male in his early 70s who developed a deep infection after an open rotator cuff repair, with as the only organism isolated from a surgical biopsy of the tendon remnants and phlegmatic/purulent material at the failed repair site. This species was originally within the genus . We report this case because it is the only one that we could locate where an infected open rotator cuff repair site grew . Our patient was not diabetic, did not smoke, and did not have other recent or concurrent infections. He had hypertension, hypothyroidism, depression, and a hyperactive bladder. Hence, he only had minor risk factors for infection. His postoperative shoulder infection was eradicated with surgical irrigation and debridement, and 6.5 weeks of primarily oral antibiotic treatment. We also review the literature on infections after any shoulder surgery where or species were isolated.

摘要

我们报告了一例70岁出头的男性病例,该患者在开放性肩袖修复术后发生深部感染,从肌腱残端的手术活检以及修复失败部位的脓性/化脓性物质中分离出的唯一微生物为[具体菌种]。该菌种最初属于[所属菌属]。我们报告此病例是因为这是我们能找到的唯一一例开放性肩袖修复感染部位培养出[具体菌种]的病例。我们的患者没有糖尿病,不吸烟,近期也没有其他感染或并发感染。他患有高血压、甲状腺功能减退、抑郁症和膀胱过度活动症。因此,他仅有轻微的感染风险因素。通过手术冲洗和清创以及6.5周主要为口服抗生素的治疗,他术后的肩部感染得以根除。我们还回顾了有关分离出[具体菌种]或[另一具体菌种]的任何肩部手术后感染的文献。

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