病例报告:结核病在骨移植患者的召回
Tiffany Ruan1, Mustafa Naveed1, Hon Vien2
1College of Osteopathic Medicine, Kansas City University, 1750 Independence Ave, Kansas City, MO 64106, United States.
North American Spine Society journal
|July 24, 2023
概括
在脊髓融合手术中使用的骨移植被结核病污染,导致患者传播疾病. 这凸显了改善骨移植捐赠者肺结核查的迫切需要.
科学领域:
- 整形外科 整形外科 整形外科
- 传染性疾病 传染性疾病
- 移植 移植 移植 移植
背景情况:
- 骨移植是一种常见的手术技术,用于增强脊髓融合.
- 聚乙基 (PEEK) 间体充满全移植骨基质,经常用于前椎切除和融合手术.
- 整体移植被加工以保持骨传导性质并防止污染.
研究的目的:
- 报告传播性结核病的病例,该病例是由脊椎手术中使用的受污染的骨移植造成的.
- 强调目前对骨移植捐赠者进行结核病查的局限性.
主要方法:
- 一名57岁的男性患者接受了前椎间盘切除和与PEEK体间和加工的骨移植进行融合.
- 整体移植被无菌处理和玛辐射.
- 监测了手术后并发症,卫生当局调查了所有移植的来源.
主要成果:
- 患者患有传播性结核病,包括肺部和骨髓炎.
- 骨科移植被确定为结核病污染的来源.
- 尽管有风险因素和症状,但捐赠者没有接受结核病查.
结论:
- 供体骨来源的污染仍然是一个重大风险.
- 目前用于骨移植捐赠者的结核病查方法不足.
- 各个机构必须对所有捐赠的骨移植实施严格的查协议,以防止罕见但严重的感染.
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