膝关节强直术后大芬戈尔德菌感染1例及文献复习  

One case of postoperative infection of knee joint ankylosis surgery caused by Finegoldia magna and review of literatures

作　　者：范宁 朱超 王苗 肖梦瑶 霍红军 谢立民 FAN Ning;ZHU Chao;WANG Miao;XIAO Meng-yao;HUO Hong-jun;XIE Li-min(The First People’s Hospital of Xianyang City,Xianyang 712000,China;The Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000,China;School of Public Health,Xi’an Jiaotong University Health Science Center,Xi’an 710061,China)

机构地区：[1]咸阳市第一人民医院,陕西咸阳712000 [2]陕西省中医药大学附属医院,陕西咸阳712000 [3]西安交通大学医学部公共卫生学院,陕西西安710061

出　　处：《中国感染控制杂志》2018年第12期1089-1092,1097,共5页Chinese Journal of Infection Control

摘　　要：目的总结膝关节强直术后大芬戈尔德菌感染的临床特点及治疗转归。方法回顾性分析1例膝关节强直术后大芬戈尔德菌感染的临床资料,并查阅国内外相关文献进行分析。结果患者膝关节强直术后切口不愈合,渗出液厌氧菌培养结果为大芬戈尔德菌,应用敏感抗菌药物头孢西丁和青霉素钠联合治疗4周,切口干燥无渗出,愈合良好出院。结论临床应充分认识到厌氧菌感染的临床意义,在骨与关节感染中,尤其是普通细菌培养结果为阴性时,应考虑到厌氧菌感染的可能。Objective To summarize the clinical characteristics and treatment outcome of postoperative infection of knee joint ankylosis surgery caused by Finegoldia magna(F.magna).Methods Clinical data of one case of infection with F.magna after knee joint ankylosis surgery was analyzed retrospectively,relevant literatures at home and abroad were reviewed and analyzed.Results The incisional wound didn’t heal after knee ankylosis surgery,anaerobic culture result of exudate was F.magna,after 4 weeks of treatment with susceptible antimicrobials cefoxitin and penicillin sodium,the incisional wound was dry and without exudation,patient healed well and was discharged from hospital.Conclusion Clinical significance of anaerobic bacterial infection should be fully recognized,in bone and joint infection,especially when the common bacterial culture result is negative,the possibility of infection with anaerobic bacteria should be considered.

关 键 词：膝关节 松解术 修复术 感染 大芬戈尔德菌 医院感染 

分 类 号：R181.32[医药卫生—流行病学] R687.4[医药卫生—公共卫生与预防医学]