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由施氏色杆菌引起的人工关节感染:首例报告病例并文献复习。

Periprosthetic joint infection caused by kytococcus schroeteri: The first reported case and a review of the literature.

机构信息

Department of Orthopedics and Trauma Surgery, University Clinic of Bonn, Bonn, Germany.

Department of Orthopedics and Trauma Surgery, University Clinic of Bonn, Bonn, Germany; Institute of Medical Microbiology, Immunology and Parasitology, University Clinic of Bonn, Bonn, Germany.

出版信息

Diagn Microbiol Infect Dis. 2023 May;106(1):115922. doi: 10.1016/j.diagmicrobio.2023.115922. Epub 2023 Feb 15.

Abstract

Oftentimes, Gram-positive cocci are the cause for periprosthetic joint infections (PJI). Most of these infections include bacteria such as Staphylococcus aureus, Staphylococcus epidermidis or other coagulase-negative staphylococci. We here present the first case of a PJI caused by Kytococcus schroeteri. While being a Gram-positive coccus, it is very rarely the cause for infections in the human body. K. schroeteri is part of the micrococcus branch and often encountered as a symbiotic bacterium living on the skin. Regarding its pathogenic potential, not a lot is known since less than a few dozen human infections have been reported worldwide. Furthermore, many of the cases reported are either associated with implanted material, especially heart valves, or associated with patients whose immune response is deficient. Only 3 reports of osteoarticular infections are described so far.

摘要

金黄色葡萄球菌通常是导致人工关节感染(PJI)的原因。这些感染大多数包括金黄色葡萄球菌、表皮葡萄球菌或其他凝固酶阴性葡萄球菌等细菌。我们在此介绍了首例由施氏葡萄球菌引起的 PJI。虽然它是一种革兰氏阳性球菌,但它在人体感染中非常罕见。施氏葡萄球菌是微球菌科的一部分,通常作为共生菌存在于皮肤上。关于其致病潜能,目前知之甚少,因为全世界报告的人类感染病例不到几十例。此外,许多报告的病例要么与植入物有关,特别是心脏瓣膜,要么与免疫反应缺陷的患者有关。迄今为止,只有 3 例描述了骨关节感染。

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