Anaerobic clavicular osteomyelitis following colonoscopy in a hemodialysis patient
Anaerobic clavicular osteomyelitis following colonoscopy in a hemodialysis patient
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DOI：
10.1007/s10157-011-0458-5
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发表时间：
2011-10-01
影响因子：
2.3
通讯作者：
Ejaz, A. Ahsan
中科院分区：
文献类型：
--
作者：
Kambhampati, Ganesh;Asmar, Abdo;Ejaz, A. Ahsan
接受透析的患者免疫功能受损，因此容易出现常见和罕见的感染性并发症。这些感染通常与他们接受透析有关，但即使是与透析无关的常规诊断测试也可能导致罕见的不良事件。我们报告一例罕见的脆弱类杆菌所致的锁骨骨髓炎病例，患者在结肠镜检查后进行维持性血液透析。本文讨论了这一罕见感染部位的危险因素、发病率和预防性使用抗生素的指导原则。
Patients on dialysis are immunocompromised and are therefore susceptible to both common and unusual infectious complications. These infections are often related to their dialysis access but even routine diagnostic tests unrelated to dialysis can also lead to rare adverse events. We present an unusual case of clavicular osteomyelitis from Bacteroides fragilis in a patient on maintenance hemodialysis following colonoscopy. The risk factors for this unusual site of infection, the incidence and guidelines for prophylactic antibiotic administration are discussed here.