Título:
|
Pyogenic arthritis of native joints due to Bacteroides fragilis: Case report and review of the literature
|
Autor/a:
|
Nolla Solé, Joan Miquel; Murillo Rubio, Óscar; Narváez García, Francisco Javier; Gómez Vaquero, Carmen; Lora-Tamayo Morillo-Velarde, Jaime; Pedrero, Salvador; Cabo Cabo, Xavier; Ariza Cardenal, Javier
|
Otros autores:
|
Universitat de Barcelona |
Abstract:
|
Pyogenic arthritis of native joints due to Bacteroides fragilis seems to be an infrequent disease. We analyzed the cases diagnosed in a tertiary hospital during a 22-year period and reviewed the literature to summarize the experience with this infectious entity.In our institution, of 308 patients with pyogenic arthritis of native joints, B fragilis was the causative organism in 2 (0.6%) cases. A MEDLINE search (1981-2015) identified 19 additional cases.Of the 21 patients available for review (13 men and 8 women, with a mean age, of 54.417 years), 19 (90%) presented a systemic predisposing factor for infection; the most common associated illness was rheumatoid arthritis (8 patients). Bacteremia was documented in 65% (13/20) of cases. In 5 patients (24%), 1 or more concomitant infectious process was found. Metronidazole was the most frequently used antibiotic. Surgical drainage was performed in 11 cases (52%). The overall mortality rate was 5%.Pyogenic arthritis of native joints due to B fragilis is an infrequent disease that mainly affects elderly patients with underlying medical illnesses and in whom bacteremia and the presence of a concomitant infectious process are frequent conditions. |
Materia(s):
|
-Artritis reumatoide -Artritis infecciosa -Bacteris anaerobis -Medicina clínica -Rheumatoid arthritis -Infectious arthritis -Anaerobic bacteria -Clinical medicine |
Derechos:
|
cc-by (c) Nolla Solé, Joan Miquel et al., 2016
http://creativecommons.org/licenses/by/3.0/es |
Tipo de documento:
|
Artículo Artículo - Versión publicada |
Editor:
|
Lippincott, Williams & Wilkins. Wolters Kluwer Health
|
Compartir:
|
|