一个罕见的Staphylococcus Caprae周围假肢部感染病例,临床表现异常
Daniele Grassa1,2, Francesco Cavola1,2, Alessandro Giuliani1,2
1Adult Reconstruction and Joint Replacement Service, Division of Sports Traumatology and Joint Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli 8, Roma, RM 00168, Italy.
Journal of orthopaedic case reports
|January 13, 2025
概括
这项案例研究强调了Staphylococcus Caprae作为在全关节整形术 (THA) 后造成假肢关节感染 (PJI) 的罕见原因. 成功的治疗包括了两阶段的修复手术,解决了感染.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 全关节整形术 (THA) 由于人口老龄化和关节骨关节炎,越来越常见.
- 假肢关节感染 (PJI) 影响1%的THA患者,导致植入物失败和增加发病率/死亡率.
- 斯塔菲洛科克斯 (Staphylococcus Caprae) 是人类感染中罕见的病原体,在动物中通常是初生的.
研究的目的:
- 报告一个不寻常的假肢关节感染 (PJI) 病例,该病例是关节整形术 (THA) 后由 Staphylococcus Caprae 引起的.
- 描述这种罕见的PJI的诊断和治疗方法.
- 为了对Staphylococcus Caprae作为PJI的原因的文献做出贡献.
主要方法:
- 一名62岁的男性患者在THA后7个月出现了PJI症状.
- 诊断成像包括MRI,揭示了假肢周围复杂的液体收集.
- 微生物学分析,包括大腿部部件超声波,确定了Staphylococcus Caprae.
主要成果:
- 患者在THA后出现沟和股疼痛和胀.
- 最初的微生物样本呈阴性,但大腿部部件的超声波检测产生了Staphylococcus Caprae.
- 患者成功地接受了PJI的两阶段修复手术.
结论:
- 葡萄球菌Caprae是一种不常见但重要的部PJI的原因.
- 一个两阶段的交换协议可以有效地治疗由Staphylococcus Caprae引起的部PJI.
- 这个病例代表了第11个报告的部PJI,由于S. caprae成功地用这个协议治疗.
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