关键词: Anaerobic bacteremia Fusobacterium necrophorum Lemierre's syndrome Septic arthritis

Mesh : Male Humans Middle Aged Fusobacterium Infections / complications diagnosis drug therapy Fusobacterium necrophorum Bacteremia / complications diagnosis drug therapy Lung Magnetic Resonance Imaging

来  源:   DOI:10.1016/j.jnma.2023.09.008

Abstract:
A 62-year-old African American man with a history of avascular necrosis (AVN) of the right hip joint presented with severe right hip pain, dyspnea, fever, tachycardia, and hypertension. Computed tomography (CT) scan showed bilateral airspace opacities with a mild tree-in-bud nodularity in the left lower lobe. Ultrasonography of the lower extremities revealed a deep venous thrombus (DVT) in the right deep veins. Blood cultures grew Fusobacterium necrophorum. CT and magnetic resonance imaging showed right hip joint destruction and septic arthritis. The patient had a complicated hospital course leading to total hip arthroplasty with antibiotic-impregnated cementing.
摘要:
一名62岁的非裔美国人,有右髋关节缺血性坏死(AVN)病史,表现为严重的右髋关节疼痛,呼吸困难,发烧,心动过速,和高血压。计算机断层扫描(CT)扫描显示双侧空域混浊,左下叶有轻度的树芽结节。下肢超声检查显示右侧深静脉有深静脉血栓(DVT)。血液培养物生长坏死梭杆菌。CT和磁共振成像显示右髋关节破坏和化脓性关节炎。该患者的住院过程复杂,导致使用抗生素浸渍的骨水泥进行全髋关节置换术。
公众号