B组链球菌下肩:一个病例报告和文献评论
Yassir P Hussain1, Roy Abraham1, Muhammad Thahir1
1Department of Orthopedic Surgery, Dubai Hospital, Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai, ARE.
Cureus
|May 19, 2025
概括
骨下,往往被误诊,需要迅速的成像和排水. 这一案例突出了Streptococcus agalactiae作为83岁患者的罕见病因,强调了对老年人群的警的需要.
科学领域:
- 医学微生物学 医学微生物学
- 手术病理学手术病理学
- 老年医学 老年医学
背景情况:
- 下是不常见的,经常导致延迟诊断,由于微妙的症状模仿其他条件.
- 延迟诊断增加了感染传播,发病率和死亡率的风险,需要高度的临床怀疑和及时干预.
- 虽然影响所有年龄段,但该病例涉及报告中最年长的83岁患者,患有腹后物理治疗血液瘤感染.
研究的目的:
- 报告一位老年患者罕见的由Streptococcus agalactiae引起的骨下病例.
- 审查和分析关于 subscapular的现有文献,重点关注人口统计,呈现和管理.
- 突出了 subscapular的诊断和管理挑战,特别是在老年人中.
主要方法:
- 一个83岁的男性患有 subscapular的病例报告.
- 诊断成像包括超声波和MRI来划分.
- 用显微镜吸取的内容,培养,并识别致病生物.
- 对26个先前报告的 subscapular的病例进行文献综述.
- 对所收集的数据进行流行病学和临床特征分析.
主要成果:
- 使用超声波和MRI成功诊断了 subscapular.
- 显微镜和培养确定了Streptococcus agalactiae (B组链球菌) 作为致病剂,这是这个位置的新发现.
- 患者通过肌肉节约的后侧方法进行了手术排水.
- 文献审查确定了关键因素,包括年龄,性别,危险因素,临床表现,成像,细菌学和手术技术.
结论:
- 下需要高度的怀疑指数,及时的成像和早期的手术排水以进行有效的治疗.
- 标识了Streptococcus agalactiae作为一个以前未报告的导致 subscapular的有机体,特别是在老年人中.
- 在老年人中侵袭性B组链球菌感染是一个日益严重的公共卫生问题,需要提高认识和诊断警.
相关概念视频
01:23Rheumatic Heart Disease I: Introduction
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
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...
01:29Staphylococcal Skin Infections
Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...
01:26Brain Abscess l: Introduction
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 infections,...