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全髋关节置换术后感染病因:两例报告及文献综述

Total Hip Arthroplasty Infection Due to : Report of Two Cases and Comprehensive Review of the Literature.

作者信息

Martrenchar Paul, Samargandi Ramy

机构信息

Université de Tours-Faculty of Medicine, de Tours-CHRU Trousseau Service d'Orthopédie Traumatologie, 37170 Chambray-les-Tours, France.

Department of Orthopedic Surgery, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia.

出版信息

J Orthop Case Rep. 2024 Aug;14(8):55-60. doi: 10.13107/jocr.2024.v14.i08.4644.

Abstract

INTRODUCTION

(is a gram-negative bacillus found in pigs and transmitted orally. It can contaminate a joint prosthesis following bacteremia. It is a potentially fatal and extremely rare infection, with fewer than 10 cases reported in the literature.

CASE REPORT

This article describes two cases of patients who had a total hip arthroplasty infection, managed in our department. Both patients underwent emergency surgery for resection arthroplasty antibiotic therapy. Despite early management, both patients were died.

CONCLUSION

It is crucial to consider infection in the context of prosthetic joint infection, even years after the operation, especially if it occurs following a digestive pathology. Rapid diagnosis and prompt initiation of appropriate management are essential.

摘要

引言

(是一种革兰氏阴性杆菌,存在于猪体内,通过口腔传播。菌血症后它可污染关节假体。这是一种潜在致命且极为罕见的感染,文献报道的病例少于10例。

病例报告

本文描述了在我们科室接受治疗的两例全髋关节置换术后感染的患者。两名患者均接受了切除关节成形术抗生素治疗的急诊手术。尽管进行了早期治疗,两名患者均死亡。

结论

即使在手术后数年,在假体关节感染的情况下考虑感染也至关重要,尤其是在发生消化病理之后。快速诊断并及时开始适当的治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377d/11327687/2b7a36ee2c36/JOCR-14-55-g001.jpg

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