Tick-borne Encephalitis Virus, Zealand, Denmark, 2011

نویسندگان

  • Anders Fomsgaard
  • Mette E. Fertner
  • Sandra Essbauer
  • Alex Y. Nielsen
  • Stefan Frey
  • Pontus Lindblom
  • Per-Eric Lindgren
  • Rene Bødker
  • Manfred Weidmann
  • Gerhard Dobler
چکیده

increased during the past 13 years (6). This trend is accompanied by an increase in the total number of periprosthetic joint infections, even though the overall percentage of this complication is low (7). The most commonly isolated organisms in periprosthetic joint infections are gram-positive cocci, specifically Staphylococcus aureus and S. epidermidis (8). In a retrospective review, Moran et al. (9) examined the microbiological spectrum of 112 patients undergoing debridement and irrigation for a periprosthetic joint infection (hip [52], knee [51], elbow [4], ankle [3], shoulder [2]) at a tertiary care center in the United Kingdom during 1998–2003. The most frequently isolated microorganisms were coagulase-negative staphylococci (47%) followed by methicillin-sensitive S. aureus (44%), methicillin-resistant S. aureus (8%), aerobic gram-negative organisms (8%), and anaerobes (7%). Thirty-seven percent of patient specimens grew multiple microorganisms. We document the ability of B. extructa to cause an infection beyond its usual habitat, the oral flora. We hypothesize that the infection in this patient might have developed from hematogenous seeding in which an undiscovered and asymptomatic oral infectious nidus might have served as the seeding focus while mild trauma to the hip could have facilitated access to the joint space.

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عنوان ژورنال:

دوره 19  شماره 

صفحات  -

تاریخ انتشار 2013