在患有大象病的患者中对伪虫感染的TKA进行两阶段的修订Nostras Verrucosa:一个罕见的病例报告
Sourav Lal Das1, Komalchand Gajbhiye, Ayush Sharma
1Department of Orthopaedics, Bharatratna Dr Babasaheb Ambedkar Memorial Hospital, Mumbai, India.
JBJS case connector
|December 19, 2025
概括
修复全膝关节整形术 (TKA) 需要严格的感染控制和软组织管理. 本案例研究显示,在感染TKA与ENV.的两阶段修订后,膝盖功能得到改善.
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.
- 淋巴 edem 管理 淋巴 edem 管理
背景情况:
- 大象鼻炎 (ENV) 是一种罕见的慢性胀疾病.
- 受感染的全膝关节整形术 (TKA) 提出了独特的挑战,特别是同时出现淋巴阻塞.
研究的目的:
- 描述一个患有ENV的患者TKA修订病例.
- 在ENV的背景下突出感染TKA的管理策略.
主要方法:
- 对一个感染左TKA的患者进行了两阶段的修复手术.
- 重点是严格的无菌治疗和细致的伤口管理协议.
主要成果:
- 患者在15个月的随访期间没有出现感染或假肢松动的迹象.
- 在复查后观察到,每日膝盖功能显著改善.
结论:
- 在ENV患者中修订TKA没有确定的指南.
- 有效的感染控制和谨慎的软组织管理对于有利的结果至关重要.
- 对于接受TKA修复的ENV患者,需要进行长期监测.
相关概念视频
Endocarditis II: Clinical Features of Infective Endocarditis
929
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
929
Varicose Veins II: Diagnostic Studies and Interprofessional Care
319
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
319
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
434
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...
434
Acute Pyelonephritis I: Introduction
1.5K
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
1.5K
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
