关键词: BCGosis Bacillus Calmette-Guérin (BCG) Bladder cancer Prosthetic joint infection Total knee arthroplasty

来  源:   DOI:10.1016/j.artd.2024.101350   PDF(Pubmed)

Abstract:
Periprosthetic joint infection (PJI) can present challenges in diagnosis and treatment, particularly in the setting of atypical causative organisms such as fungi and mycobacteria. Herein, we present a case and provide a review of the diagnosis and treatment of an unusual PJI caused by bacillus Calmette-Guérin, administered during the treatment of bladder cancer 3 years prior to total knee arthroplasty and subsequent PJI. Although the patient\'s history of bladder cancer was known, neither his Bacillus Calmette-Guérin treatment nor its potential for distant site spread that could lead to PJI were appreciated, leading to a prolonged diagnostic evaluation and treatment course.
摘要:
假体周围关节感染(PJI)在诊断和治疗方面可能存在挑战,特别是在非典型致病生物如真菌和分枝杆菌的环境中。在这里,我们介绍了一个病例,并对由卡介苗引起的异常PJI的诊断和治疗进行了回顾,在全膝关节置换术和随后的PJI之前3年治疗膀胱癌期间给药。虽然患者的膀胱癌病史是已知的,无论是他的卡介苗-Guérin治疗还是其可能导致PJI的远距离传播的潜力都没有得到赞赏,导致延长的诊断评估和治疗过程。
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