Harrington R D, Lewis C G, Aslanzadeh J, Stelmach P, Woolfrey A E
Division of Infectious Diseases, University of Connecticut School of Medicine, Farmington, Connecticut, USA.
J Clin Microbiol. 1996 Jul;34(7):1821-4. doi: 10.1128/JCM.34.7.1821-1824.1996.
Oerskovia spp. are gram-positive, Nocardia-like bacilli which inhabit the soil and rarely cause human infections. Previously reported cases of Oerskovia infection have been characterized by a nonaggressive course and an association with foreign bodies. We report the first case of a patient with a prosthetic joint infection due to Oerskovia xanthineolytica. Our patient presented with a prolonged, indolent course and was thought to have aseptic loosening of his prosthesis until the time of surgery. He was cured of his infection by removal of the prosthesis, antibiotic therapy, and delayed reimplantation. Review of the previous 10 reported cases of Oerskovia infection in humans supports the recommendation that foreign-body-associated infections should be treated with a strategy that includes removal of the foreign material.
厄氏菌属是革兰氏阳性、类似诺卡氏菌的杆菌，存在于土壤中，很少引起人类感染。先前报道的厄氏菌感染病例的特点是病程不具侵袭性且与异物有关。我们报告了首例因解黄嘌呤厄氏菌导致人工关节感染的患者。我们的患者病程迁延、进展缓慢，在手术前一直被认为是假体无菌性松动。通过移除假体、抗生素治疗和延迟再植入，他的感染得以治愈。回顾先前报道的10例人类厄氏菌感染病例，支持以下建议：与异物相关的感染应采用包括移除异物在内的策略进行治疗。
