Hennessy M J
Great Falls Clinic, Department of Orthopaedic Surgery, Montana 59403, USA.
Am J Knee Surg. 1996 Summer;9(3):133-6.
This article describes a case of total knee infection by Candida parapsilosis treated by joint reimplantation. Surgical treatment consisted of resection arthroplasty with wound stablization by external fixation. Antibiotic treatment consisted of 6 weeks of intravenous amphotericin B and 7 weeks of oral 5-fluorocytosine begun at the time of resection arthroplasty. Cultures at reimplantation were negative. Reimplanted components were all cemented with perioperative cefazolin antibiotic. No further antifungal treatment was necessary.
本文描述了1例通过关节再植入治疗近平滑念珠菌所致全膝关节感染的病例。手术治疗包括切除关节成形术并通过外固定稳定伤口。抗生素治疗包括在切除关节成形术时开始静脉注射两性霉素B 6周和口服5-氟胞嘧啶7周。再植入时的培养结果为阴性。再植入的组件均用围手术期头孢唑林抗生素进行骨水泥固定。无需进一步的抗真菌治疗。
