红斑红斑菌 (Rhodococcus erythropolis) 引起的性关节炎
Leah M Grant1, Maria T Seville1, Erin H Graf2
1Division of Infectious Diseases, Mayo Clinic, Phoenix, Arizona, USA.
BMJ case reports
|October 6, 2023
概括
在膝关节手术后,在一个免疫能力强的女性中报告了一种罕见的Rhodococcus erythropolis引起的感染性关节炎病例. 这一发现突出了先前未经证实的关节透视手术后关节感染的原因.
科学领域:
- 医学微生物学 医学微生物学
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
背景情况:
- 败血性关节炎是一种严重的关节感染,通常需要及时治疗.
- 罗多科克菌种通常与土壤和牲畜有关,很少引起疾病,特别是在免疫能力强的个体中.
- 在以前的文献中,没有记录过专门由Rhodococcus erythropolis引起的败血性关节炎.
研究的目的:
- 报告一个独特的感染性关节炎病例在一个免疫能力强的病人.
- 在关节镜后的膝关节感染中,以识别致病原体Rhodococcus erythropolis.
- 为了解关节感染的罕见细菌原因作出贡献.
主要方法:
- 膝关节疼痛,胀和全身症状的患者在经月经切除术后的临床表现.
- 诊断工作包括状液吸收和组织培养.
- 关节镜外科干预用于灌和除.
主要成果:
- 患者在左膝膜切除术后一个月出现了败血性关节炎的症状.
- 同胞组织培养证实了Rhodococcus erythropolis的存在.
- 患者接受了关节镜灌和脱bridement的治疗.
结论:
- Rhodococcus erythropolis可以导致败血性关节炎,即使在免疫能力强的宿主中,在骨科手术后.
- 这一病例代表了第一个报告的Rhodococcus erythropolis二次性败血性关节炎病例.
- 临床医生应在术后关节感染的差异诊断中考虑罕见的病原体.
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