Acta ortopedica mexicana · 2009
[Listeria monocytogenes infection in a total knee arthroplasty].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Martínez Pastor Juan Carlos, Casanova Mora Luis, Vilchez Cavazos Félix, Lozano Lizárraga Luis, Castillo García Félix, Soriano Viladomiu Alex
Аннотация
BACKGROUND: Acute blood borne prosthetic infections occur in patients with an asymptomatic prosthesis that, after an infection involving bacteremia, produces bacterial implantation in the prosthesis and causes an acute infection. This type of infection is usually caused by gram positive cocci, Streptococci and Staphylococci. We present the clinical case of a patient without a history of immunodeficiency, who had an acute blood borne knee prosthetic infection caused by Listeria monocytogenes.
METHODS: The diagnosis of infection was made based on the clinical data, blood tests and the positive culture of an arthrocentesis. A prosthetic exchange was performed in two stages.
RESULTS: After the revision arthroplasty, the patient was still infection free at the 24-month followup.
CONCLUSIONS: This type of infection is rare, with very few cases published in the literature, and without a defined treatment modality. The two-stage prosthetic exchange is a valid alternative in prosthetic infections caused by this microorganism and avoids suppressive antibiotic therapy.
METHODS: The diagnosis of infection was made based on the clinical data, blood tests and the positive culture of an arthrocentesis. A prosthetic exchange was performed in two stages.
RESULTS: After the revision arthroplasty, the patient was still infection free at the 24-month followup.
CONCLUSIONS: This type of infection is rare, with very few cases published in the literature, and without a defined treatment modality. The two-stage prosthetic exchange is a valid alternative in prosthetic infections caused by this microorganism and avoids suppressive antibiotic therapy.