骨关节感染1例

Q4 Immunology and Microbiology

Journal of Tropical Pathology Pub Date : 2021-12-22 DOI:10.5216/rpt.v50i4.69205

Adriana Oliveira Guilarde, Ricardo Vieira Teles Filho, Daniella Da Mata Padilha, Aderrone Vieira Mendes, Kely Tiemi Matsunaga, A. Kipnis, Ariana Rocha Romão Godoi

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引用次数: 1

摘要

雷根斯伯格氏菌属于肠杆菌科，是一种很少与人类感染相关的机会性病原体。我们报告一例由雷根斯伯氏杆菌引起的膝关节骨关节感染，患者在治疗类风湿关节炎时使用皮质类固醇，并发原发性膝关节全关节置换术。采用VITEK2系统对雷根氏耶夫氏菌进行鉴定。根据临床和实验室标准协会的指南，采用纸片扩散法进行抗菌药物敏感性试验。第二次清创后，患者临床进展良好，假体完全取出，磺胺甲恶唑/甲氧苄氨嘧啶抗生素治疗。这是巴西发现的第一例雷根斯堡氏耶氏菌感染病例。关键词:雷根堡氏横叶杆菌;osteoarticular;感染;磺胺甲恶唑;甲氧苄氨嘧啶;假肢。

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YOKENELLA REGENSBURGEI osteoarticular infection: a case report

Yokenella regensburgei belongs to the family Enterobacteriaceae and is an opportunistic agent rarely associated with infections in humans. We report a case of osteoarticular knee infection caused by Y. regensburgei in a patient under treatment for rheumatoid arthritis, using corticosteroids, with complication in primary total arthroplasty of the knee. Y. regensburgei was identified using the VITEK2 system. Antimicrobial susceptibility testing was performed using the disk-diffusion method, according to the guidelines from the Clinical and Laboratory Standards Institute. The patient presented favorable clinical evolution after the second debridement, with complete removal of the prosthesis and antibiotic therapy with sulfamethoxazole/trimethoprim. This is the first case of Y. regensburgei infection described d in Brazil. KEY WORDS: Yokenella regensburgei; osteoarticular; infection; sulfamethoxazole; trimethoprim; prosthesis.

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来源期刊

Journal of Tropical Pathology Medicine-Infectious Diseases

CiteScore

0.50

自引率

0.00%

发文量

审稿时长

8 weeks