周围假肢关节感染Streptococcus bovis揭示了隐藏的结肠直肠癌:一个病例报告
George Viscopoleanu1, Mihai-Sebastian Valeanu1, Bogdan-Sorin Capitanu1
1Department of Orthopaedics, "Foisor" Clinical Hospital of Orthopaedics, Traumatology and Osteoarticular TB, 021382 Bucharest, Romania.
Life (Basel, Switzerland)
|September 27, 2025
概括
由Streptococcus bovis引起的周围假肢关节感染 (PJI) 需要及时诊断和管理. 这一案例凸显了S. bovis PJI患者胃肠道查的急需,以检测相关结直肠瘤.
科学领域:
- 整形外科 整形外科 整形外科
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
背景情况:
- 周围假肢关节感染 (PJI) 是关节置换手术的一个严重并发症.
- 杆菌bovis (S. bovis) 是PJI的一个不常见的原因,但与结直肠瘤有很强的关联.
- 慢性PJI存在诊断和管理方面的挑战,通常需要分阶段的手术干预.
研究的目的:
- 报告S. bovis引起的慢性PJI病例,患者有关节整形术的病史.
- 强调在患有S. bovis PJI的患者中检查胃肠道的重要性.
- 为了说明复杂的PJI病例与相关的结直肠病理学的成功管理.
主要方法:
- 一名68岁的女性患者经过20年前的关节整形手术,出现了慢性抽和感染迹象.
- 伤口培养物确定了S. bovis,导致慢性PJI的诊断.
- 进行了两阶段的修复手术,随后进行了结肠镜检查,揭示了管状腺瘤与 carcinoma in situ.
主要成果:
- 患者的慢性PJI成功地通过两阶段的修复手术治疗.
- 相关结直肠瘤 (管状腺瘤与 carcinoma in situ) 被诊断出并进行了手术切除.
- 患者在重新植入后获得了良好的临床和放射性康复.
结论:
- 由于它与结直肠癌有关,S. bovis PJI需要进行彻底的胃肠道评估.
- 早期发现和管理PJI和潜在的胃肠病变对于最佳的患者结果至关重要.
- 跨学科合作对于涉及PJI和恶性瘤的复杂病例的管理至关重要.
相关概念视频
01:21Inflammatory Bowel Disease V: Surgical Management
451
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
451
01:29Bacterial Flora of the Large Intestine
1.5K
The gut microbiome is formed by a vast and diverse community of bacteria that colonizes our large intestine. These bacteria start residing in the gut from birth and continue diversifying throughout life, influenced by factors such as diet, lifestyle, and stress. The gut bacterial community also includes bacteria from food and those that enter the colon through the anus.
The normal gut flora of the colon plays a critical role in generating essential vitamins such as vitamins K, B5, and B7.
The normal gut flora of the colon plays a critical role in generating essential vitamins such as vitamins K, B5, and B7.
1.5K
01:28Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
538
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
538
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
253
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
253
01:30Inflammatory Bowel Disease II: Crohn's Disease
960
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
960
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
568
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
568