第一次关节假肢感染是由Eggerthella lenta引起的
Philip Krekosch1, Volker Jonen1, Hussein Abdelaziz1
1Department of Joint Replacement Surgery, Helios ENDO-Klinik Hamburg, Holstenstrasse 2, 22767, Hamburg, Germany.
Journal of clinical orthopaedics and trauma
|August 21, 2023
概括
本案例研究详细介绍了一种罕见的关节周围假肢关节感染 (PJI) 的成功治疗,这种感染是由Eggerthella lenta引起的. 管理涉及到彻底的脱bridement,一个阶段的交换,和向的抗生素.
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:
- 周围假肢关节感染 (PJI) 是关节置换手术后的一种严重并发症.
- 在PJI中,无氧性,阳性菌 (如Eggerthella lenta) 引起的感染并不常见.
- 这项研究涉及一种罕见的部PJI病例,该病因于E. lenta多次手术干预失败后发生.
研究的目的:
- 报告第一个被记录的部PJI病例是由Eggerthella lenta引起的.
- 描述这种罕见感染的成功管理策略.
- 突出针对E. lenta PJI的特定治疗方案的有效性.
主要方法:
- 一个83岁的女性患者的复杂部PJI病例在第三级转诊关节整形中心得到管理.
- 诊断涉及外部和手术内培养物,识别埃格特拉慢.
- 治疗包括激进脱bridement,一个阶段的关节交换,和一个多抗生素治疗方案.
主要成果:
- Eggerthella lenta被确定为部PJI的致病原体.
- 患者经历了成功的激进脱bridement和一个阶段的关节交换.
- 24个月的随访表明成功管理,没有复发感染的迹象.
结论:
- 埃格塞拉 (Eggerthella lenta) 是一种罕见的,但在周围假肢关节感染中具有潜在的病原体.
- 一个阶段的交换手术与适当的抗生素治疗相结合,可以有效地治疗由E. lenta引起的部PJI.
- 这个案例为管理不常见的PJI病因提供了宝贵的见解.
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