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病例报告: ,一种罕见的内固定相关感染原因。

Case Report: , a rare cause of osteosynthesis-associated infection.

机构信息

University of Tunis El Manar, Tunis, Tunis, Tunisia.

Orthopedic surgery, Rabta Hospital, Tunis, Tunis, Tunisia.

出版信息

F1000Res. 2024 Sep 2;12:1465. doi: 10.12688/f1000research.142096.2. eCollection 2023.

Abstract

is an emerging human pathogen. It mostly causes skin and soft tissue infections. Osteosynthesis-associated infection involving are rare and in most cases are secondary to direct contamination following open fractures in aquatic environments. Here, we present a rare case of hematogenous osteosynthesis-associated infection involving affecting an 18-year-old patient who was operated on for 12 thoracic vertebrae and 4th lumbar vertebrae fractures occurring in an aquatic environment. We performed surgical debridement with subsequent double course parenteral antibiotherapy that was then adapted to bacteria sensitivities for three weeks. After a follow-up of six months, the patient had no signs of recurrent infection. The presence of infected dermabrasions and the concordance between germs isolated in operative samples and in blood cultures presumes that the contamination was hematogenous.

摘要

是一种新兴的人类病原体。它主要引起皮肤和软组织感染。涉及 的骨内固定相关感染很少见,大多数情况下是在水生环境中开放性骨折后直接污染引起的。在此,我们报告了一例罕见的血源性骨内固定相关感染,涉及 ,影响了一名 18 岁患者,该患者因在水生环境中发生第 12 胸椎和第 4 腰椎骨折而接受手术治疗。我们进行了手术清创,随后进行了两阶段的全身抗生素治疗,然后根据细菌敏感性进行了三周的治疗。随访六个月后,患者没有感染复发的迹象。受感染的表皮擦伤的存在以及手术样本和血液培养中分离出的细菌之间的一致性提示污染是血源性的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ad/11375438/39a8704f0e1f/f1000research-12-170594-g0000.jpg

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