布鲁塞拉梅利坦尼斯 (Brucella melitensis) 周围假肢关节感染
Acta orthopaedica Belgica
|January 27, 2025
概括
甲状腺菌病很少引起周围假肢关节感染 (PJI). 本综述强调了布鲁塞拉PJI的诊断和管理,强调在关节疼痛患者,特别是来自特有病区的患者中考虑它.
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:
- 血病是全球常见的动物性感染.
- 周围假肢关节感染 (PJI) 是一种罕见的血病并发症.
- 提高对布鲁塞拉PJI的临床认识,特别是在非流行地区,至关重要.
研究的目的:
- 总结关于布鲁塞拉PJI的当前医学文献.
- 报告一个布鲁塞拉PJI病例.
- 为诊断和管理策略提供见解.
主要方法:
- 基于案例的文献综述.
- 系统搜索多个数据库 (1983年2月 - 2023年12月).
- 包括之前报告的42例病例和1例新病例.
主要成果:
- 该研究分析了43例布鲁塞拉PJI病例,主要影响膝盖和部.
- 常见的症状包括局部关节疼痛和全身症状.
- 诊断通常依赖于阳性培养 (突液,组织) 和血清学 (97%阳性).
- 治疗涉及多西环林,利法和氨基甘油酸的组合,在许多情况下与手术干预 (两阶段交换关节塑造) 相结合.
结论:
- 布鲁塞拉PJI是一种罕见但严重的布鲁塞洛症表现.
- 在患有关节疼痛的患者中考虑Brucella PJI,特别是来自特有地区或具有常见病原体负性培养的患者.
- 需要进一步的研究,以制定针对抗微生物药物治疗持续时间和手术程序的统一建议,因为复发的可能性.
相关概念视频
Acute Pyelonephritis II: Diagnostic Studies and Management
842
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
842
Bacterial Phylum Spirochaetes
1.5K
Spirochetes, unique bacteria in the phylum Spirochaetes, are gram-negative, motile, tightly coiled, slender, and flexible. They inhabit aquatic sediments and animals, with some causing diseases like syphilis. Spirochetes are classified into eight genera based on habitat, pathogenicity, phylogeny, and characteristics.Their distinctive motility arises from endoflagella, located within the cell’s periplasm. These endoflagella anchor at the cell poles and extend along the cell length, encased...
1.5K
Atypical Pneumonia
84
Atypical pneumonia, often caused by Mycoplasma pneumoniae, is a form of pulmonary infection that differs from the classical presentation of bacterial pneumonia in both its cause and clinical symptoms. Mycoplasma pneumoniae is a pleomorphic bacterium notable for its lack of a rigid cell wall. This structural characteristic imparts resistance to beta-lactam antibiotics and significantly influences the bacterium’s behavior within the human host.Other pathogens responsible for the disease...
84
Bacterial Meningitis I: Introduction
15
Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...
15
Bacterial Meningitis II: Pathophysiology
24
Bacterial meningitis typically begins when pathogens such as Neisseria meningitidis and Streptococcus pneumoniae colonize the nasopharynx and invade the bloodstream. This process is facilitated by bacterial virulence factors, such as polysaccharide capsules, which resist phagocytosis and complement-mediated killing. Less commonly, bacteria reach the central nervous system via contiguous spread from infections like otitis media or sinusitis, through congenital or acquired dural defects, or...
24
Brain Abscess l: Introduction
21
A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial...
21


