PDF(Pubmed)
Abstract：
Periprosthetic joint infection (PJI) caused by anaerobic, Gram-positive bacilli is rare. We present here a case of an 83-year-old female patient who was admitted to our tertiary referral arthroplasty center to treat a complex PJI of her right hip joint after multiple failed surgeries. External and intraoperative cultures reveald growth of Eggerthella lenta (E. lenta). Microbiological identification was fast but in a very few samples. A successful management, comprising of radical debridement with one-stage exchange and an antibiotic treatment with multiple antibiotics, has been achieved at 24-month follow-up. To the best of our knowledge, we have provided the first case study of a hip PJI caused by E. lenta successfully treated with one-stage exchange and an adequate antibiotic treatment.
摘要：
厌氧引起的假体周围关节感染（PJI），革兰氏阳性杆菌很少见。我们在这里介绍一例83岁的女性患者，该患者在多次手术失败后被送往我们的三级转诊关节成形术中心治疗右髋关节的复杂PJI。外部和术中培养显示了Eggerthellalenta的生长（E.lenta)。微生物鉴定是快速的,但在极少数样品中。成功的管理，包括根治性清创术与一阶段交换和多种抗生素的抗生素治疗，在24个月的随访中取得了进展。据我们所知,我们提供了首例由E.lenta引起的髋关节PJI的病例研究,该病例通过一期交换和适当的抗生素治疗成功治疗.
