由于Granulicatella adiacens引起的假膝关节感染:一个病例报告
Edward Lovering1, Farhang Alaee2, Michelle Bahrain3
1Department of Internal Medicine, Medstar Health Internal Medicine Residency Program, Baltimore, Maryland, USA.
Case reports in infectious diseases
|April 14, 2025
概括
格拉努利卡特拉adiacens可以引起假肢关节感染,即使在之前的细菌病. 这一案例凸显了在难以治疗的关节感染中考虑异常细菌的必要性.
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:
- 假肢关节感染 (PJI) 是关节置换手术的一个严重并发症.
- 格拉努利卡特拉 (Granulicatella adiacens) 是PJI的一个罕见但新出现的原因.
- 复发性感染需要仔细考虑非典型的病原体.
研究的目的:
- 报告一个由Granulicatella adiacens引起的复发性假肢膝关节感染病例.
- 强调在PJI中考虑非典型病原体的重要性.
- 讨论PJI罕见病原体的管理策略.
主要方法:
- 一个患有Granulicatella adiacens假肢膝关节感染的患者的病例报告.
- 对患者病史的审查,包括之前的Granulicatella bacteremia.
- 描述两阶段的手术修复和抗生素治疗方案.
主要成果:
- 通过两阶段的修订和长时间的静脉注射抗生素成功管理复发性PJI.
- 在假肢关节中证明Granulicatella adiacens的致病潜力.
- 综合治疗后感染的消失.
结论:
- 格拉努利卡特拉 (Granulicatella adiacens) 是一种典型的共生动物,可以引起严重的假肢关节感染.
- 在持续或复发的PJI的情况下,应考虑非典型的病原体.
- 包括手术和抗生素在内的多模式治疗对于控制这种感染至关重要.
相关概念视频
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
3.9K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
3.9K
01:23Knee Joint
1.3K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
1.3K
01:16Bones of the Lower Limb: Femur and Patella
2.0K
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
2.0K
01:23Skin Diseases and Disorders
2.8K
Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
2.8K