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病例报告:全膝关节置换术后警惕带状疱疹。

Case report: Be alert to herpes zoster after total knee arthroplasty.

作者信息

Wei Zhanqi, Weng Xisheng

机构信息

Department of Orthopaedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

School of Medicine, Tsinghua University, Beijing, China.

出版信息

Front Surg. 2023 May 5;10:1042482. doi: 10.3389/fsurg.2023.1042482. eCollection 2023.

DOI:10.3389/fsurg.2023.1042482
PMID:37215345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10196225/
Abstract

An 88-year-old woman started complaining of severe pain at the right knee and above at three weeks after right total knee arthroplasty (TKA). The empirical treatment cannot effectively control the progress of pain. The lesion was eventually diagnosed to be due to herpes zoster (HZ). The finding of HZ was unexpected in this case, because HZ is extremely rare in patients after TKA.

摘要

一名88岁女性在右侧全膝关节置换术(TKA)三周后开始抱怨右膝及以上部位剧痛。经验性治疗无法有效控制疼痛进展。病变最终被诊断为带状疱疹(HZ)。在这种情况下发现HZ出乎意料,因为HZ在TKA术后患者中极为罕见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ef/10196225/25b8267fce3c/fsurg-10-1042482-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ef/10196225/25b8267fce3c/fsurg-10-1042482-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ef/10196225/25b8267fce3c/fsurg-10-1042482-g001.jpg

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BMC Infect Dis. 2020 Nov 30;20(1):905. doi: 10.1186/s12879-020-05648-6.
3
Risk of recurrent herpes zoster in a population-based cohort study of older adults.
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J Am Acad Dermatol. 2021 Sep;85(3):611-618. doi: 10.1016/j.jaad.2020.06.1013. Epub 2020 Jul 2.
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Herpes Zoster.带状疱疹。
Ann Intern Med. 2018 Aug 7;169(3):ITC19-ITC31. doi: 10.7326/AITC201808070.