Afacan Muhammed Yusuf, Davulcu Cumhur Deniz, Kaynak Gokhan, Kılıncarslan Ayse Ceylan, Tokuc Edip, Bahar Tokman Hrisi
Department of Orthopaedics and Traumatology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Cerrahpaşa Tıp Fakültesi, Ortopedi ve Travmatoloji Ana Bilim Dalı, İstanbul Üniversitesi-Cerrahpaşa, Istanbul, Turkey.
Indian J Orthop. 2024 Mar 7;58(5):606-612. doi: 10.1007/s43465-024-01106-6. eCollection 2024 May.
Periprosthetic joint infection (PJI) is a rare but most vital complication after joint arthroplasty and requires a revision surgery. Synovial fluid analysis is essential in diagnosis of the PJI, and conventional and molecular microbiologic investigations may help in determining the cause of the infection. With this unusual case, we aimed to present the second instance in the literature of PJI of the knee caused by subspecies (SDSD). PJI in the literature are commonly subspecies (SDSE), and SDSD mostly infects animals. A farmer with comorbid illnesses who works with cattle and sheep experienced periprosthetic knee joint infection caused by SDSD. Surgical excisional debridement with open washing, decompression, and liner exchange were performed. The identification of the bacteria was done with VITEK MS as SDSD. After 1-year follow-up, the patient has fully recovered without recurrence.
人工关节周围感染(PJI)是关节置换术后一种罕见但极其重要的并发症,需要进行翻修手术。滑液分析对PJI的诊断至关重要,传统和分子微生物学检查有助于确定感染原因。通过这个不寻常的病例,我们旨在呈现文献中第二例由亚种(SDSD)引起的膝关节PJI。文献中的PJI通常是亚种(SDSE),而SDSD大多感染动物。一位患有合并症且从事牛羊养殖工作的农民经历了由SDSD引起的人工膝关节周围感染。进行了手术切除清创、开放冲洗、减压和衬垫置换。使用VITEK MS鉴定该细菌为SDSD。经过1年的随访,患者已完全康复且无复发。