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Related Concept Videos

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Endocarditis I: Introduction

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Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
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Spirochetes, unique bacteria in the phylum Spirochaetes, are gram-negative, motile, tightly coiled, slender, and flexible. They inhabit aquatic sediments and animals, with some causing diseases like syphilis. Spirochetes are classified into eight genera based on habitat, pathogenicity, phylogeny, and characteristics.Their distinctive motility arises from endoflagella, located within the cell’s periplasm. These endoflagella anchor at the cell poles and extend along the cell length, encased...
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Acute Pyelonephritis I: Introduction01:27

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Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
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Rheumatic Heart Disease I: Introduction01:23

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Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Related Experiment Video

Updated: Sep 27, 2025

Author Spotlight: Advancing Research on Candida albicans Biofilm-Associated Prosthetic Joint Infections
04:37

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Published on: February 2, 2024

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Abiotrophia Causing Prosthetic Joint Septic Arthritis.

Juliana N Young1, John York2

  • 1Department of Internal Medicine, Burrell College of Osteopathic Medicine, Las Cruces, USA.

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|April 11, 2022
PubMed
Summary
This summary is machine-generated.

A patient with Charcot-Marie-Tooth disease experienced a rare knee infection caused by Abiotrophia defectiva. Despite initial treatment, a secondary Enterobacter cloacae infection developed, highlighting complex post-surgical challenges.

Keywords:
16s rdna pcrabiotrophia defectivacharcot marie tooth diseaseenterobacter cloacaeprosthetic joint infection

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Area of Science:

  • Orthopedic Surgery
  • Infectious Diseases
  • Microbiology

Background:

  • A 71-year-old male with Charcot-Marie-Tooth disease type 2 presented with left knee pain and swelling.
  • The patient had a history of bilateral total knee replacements and a prior left knee revision for infection.

Observation:

  • Joint aspiration revealed a culture-positive and 16S recombinant DNA (rDNA) sequence-positive result for Abiotrophia defectiva.
  • The patient underwent left total knee extraction with a temporary antibiotic spacer and received six weeks of intravenous ceftriaxone.

Findings:

  • Initial treatment successfully cleared the Abiotrophia defectiva infection.
  • The patient later developed complications, including a subsequent Enterobacter cloacae infection.

Implications:

  • This case underscores the challenges in managing complex joint infections, particularly in patients with underlying neurological conditions.
  • Recurrent and secondary infections require vigilant monitoring and adaptable treatment strategies.
  • Further research into Abiotrophia defectiva and Enterobacter cloacae in prosthetic joint infections is warranted.