膝关节强直术后大芬戈尔德菌感染1例及文献复习
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朱超

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R181.3+2 R687.4

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One case of postoperative infection of knee joint ankylosis surgery caused by Finegoldia magna and review of literatures
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    摘要:

    目的总结膝关节强直术后大芬戈尔德菌感染的临床特点及治疗转归。方法回顾性分析1例膝关节强直术后大芬戈尔德菌感染的临床资料,并查阅国内外相关文献进行分析。结果患者膝关节强直术后切口不愈合,渗出液厌氧菌培养结果为大芬戈尔德菌,应用敏感抗菌药物头孢西丁和青霉素钠联合治疗4周,切口干燥无渗出,愈合良好出院。结论临床应充分认识到厌氧菌感染的临床意义,在骨与关节感染中,尤其是普通细菌培养结果为阴性时,应考虑到厌氧菌感染的可能。

    Abstract:

    ObjectiveTo summarize the clinical characteristics and treatment outcome of postoperative infection of knee joint ankylosis surgery caused by Finegoldia magna(F. magna).MethodsClinical data of one case of infection with F. magna after knee joint ankylosis surgery was analyzed retrospectively, relevant literatures at home and abroad were reviewed and analyzed.ResultsThe incisional wound didn’t heal after knee ankylosis surgery, anaerobic culture result of exudate was F. magna, after 4 weeks of treatment with susceptible antimicrobials cefoxitin and penicillin sodium, the incisional wound was dry and without exudation, patient healed well and was discharged from hospital.ConclusionClinical significance of anaerobic bacterial infection should be fully recognized, in bone and joint infection, especially when the common bacterial culture result is negative, the possibility of infection with anaerobic bacteria should be considered.

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范宁,朱超,王苗,等.膝关节强直术后大芬戈尔德菌感染1例及文献复习[J]. 中国感染控制杂志,2018,17(12):1089-1092. DOI:10.3969/j. issn.1671-9638.2018.12.012.
FAN Ning, ZHU Chao, WANG Miao, et al. One case of postoperative infection of knee joint ankylosis surgery caused by Finegoldia magna and review of literatures[J]. Chin J Infect Control, 2018,17(12):1089-1092. DOI:10.3969/j. issn.1671-9638.2018.12.012.

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  • 收稿日期:2018-05-08
  • 最后修改日期:2018-07-20
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  • 在线发布日期: 2018-12-28
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