Musculoskeletal infections associated with Citrobacter koseri.

Musculoskeletal infections associated with Citrobacter koseri.
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与科塞里柠檬酸杆菌相关的肌肉骨骼感染。

DOI:
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发表时间:
2016
影响因子:
1.4
通讯作者:
P. Dunkow
P. Dunkow
中科院分区:
医学4区
文献类型:
--
作者:
T. Kwaees;Z. Hakim;C. Weerasinghe;P. Dunkow

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简介 科塞柠檬酸杆菌是儿科环境中中枢神经系统感染的众所周知的原因。由科塞利念珠菌引起的肌肉骨骼感染很少见,之前仅报道过 14 例病例。我们提出了第一例有记录的科塞里棒虫诱发化脓性膝关节关节炎的病例,并对文献进行了回顾。方法 对 PubMed、Embase(®) 和 Google Scholar™ 数据库进行检索。仅审查完整或接近完整的案例。结果 发现 14 例肌肉骨骼感染。其中,五起与手术相关,五起涉及化脓性关节。大多数病例需要手术治疗,所有病例在长期使用抗生素后均能治愈。结论 科塞利隐球菌相关的肌肉骨骼感染可能会使初级骨科手术复杂化。该生物体可能具有攻击性,并且很难从微生物学上进行识别。它对新一代 β-内酰胺类、头孢菌素类抗生素和及时手术敏感。
Introduction Citrobacter koseri is a well known cause of central nervous system infections in the paediatric setting. Musculoskeletal infections caused by C koseri are rare, with only 14 previously reported cases. We present the first recorded case of C koseri induced septic arthritis of the knee along with a review of the literature. Methods A search of the PubMed, Embase(®) and Google Scholar™ databases was undertaken. Only complete or near complete cases were reviewed. Findings Fourteen musculoskeletal infections were identified. Of these, five were associated with an operative procedure and five involved a septic joint. Surgical treatment was required in the majority of cases and cure was achieved in all cases following prolonged antibiotic use. Conclusions C koseri associated musculoskeletal infections may complicate primary orthopaedic procedures. The organism can present aggressively and can be difficult to identify microbiologically. It is sensitive to newer generation beta-lactams, cephalosporin-based antibiotics and timely surgery.
DOI: 10.1056/nejmcp0905029
发表时间: 2009-08-20
期刊: The New England journal of medicine
影响因子: --
作者:
Del Pozo JL;Patel R
通讯作者: Patel R