在免疫能力强的成年人中由Streptococcus intermedius引起的骨髓炎 - 一个病例报告和系统文献综述
Elyne M Brunink1, Lotje A Hoogervorst2,3, Koen Steentjes1
1Department of Orthopaedics, Leiden University Medical Center, Leiden, 2333ZA, the Netherlands.
概括
来自Streptococcus intermedius的血液性骨髓炎在健康的成年人中很少见. 本综述总结了这种不常见的骨感染的临床细节,结果和治疗方法.
科学领域:
- 传染性疾病 传染性疾病
- 整形外科手术 整形外科手术
- 微生物学 微生物学
背景情况:
- 血源性骨髓炎是一种骨感染,通常是由细菌引起的.
- 链球菌中介是一种不常见的骨质炎病因,特别是在免疫能力强的成年人中.
研究的目的:
- 审查Streptococcus intermedius引起的血液性骨髓炎的临床表现,预后和治疗.
- 专注于发生在免疫能力强的成年患者中的病例.
主要方法:
- 在六个医学图书馆进行系统的文献搜索.
- 包括作者机构的案例研究.
- 评估了五名患者的数据.
主要成果:
- 局部疼痛和发烧是最常见的症状.
- 股骨,腰椎和骨是常见的感染地点.
- 在所有病例中都使用了抗生素;在两个病例中进行了手术.
- 一名患者死于败血症休克.
结论:
- 在免疫能力强的成年人中,Streptococcus intermedius血源性骨髓炎是罕见的.
- 根据有限的病例数据总结了临床表现,预后和治疗策略.
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