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題名 | 全人工膝關節置換術後之黴菌感染:一例報告=Candida Infection after Total Knee Arthroplasty: A Case Report |
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作者 | 黃國淵; 江清泉; Huang, Kuo-yuan; Jiang, Ching-chuan; |
期刊 | 臺灣醫學 |
出版日期 | 19990700 |
卷期 | 3:4 1999.07[民88.07] |
頁次 | 頁388-393 |
分類號 | 416.61 |
語文 | chi |
關鍵詞 | 全人工膝關節置換術; 黴菌感染; 念珠菌; Total knee arthroplasty; Fungal infection; Candida parapsilosis; |
中文摘要 | 我們所報告病例是一在個在全人工膝關節置換術後發生念珠菌屬黴菌感染,我們 採用兩階段治療, 第一階段, 先移除感染的人工膝關節, 並給予徹底的清創術及置入 septopal 鏈珠,並在麻醉下由長腿石膏固定 (long leg cast) 來維持下肢的長度,之後在 關節液培養確定是黴菌感染後, 給予抗黴菌藥物 (fluconazole) 及預防性的抗生素治療。 第二階段等候至 C 型反應性球蛋白降至正常 (小於 0.5mg/dL) 後,再置入新的人工膝關節 (revision total knee arthroplasty),術後繼續使用 fluconazole 治療長達 68 天。 病 人於停藥後傷口癒合良好,至今不再出現感染症狀及徵象,沒有傷口紅腫痛的現象,膝關節 也可以彎曲至少 90 度,步行良好。因此將我們所遇到的病例提出來,以期待大家對人工膝 關節黴菌感染的途徑、診斷、治療及預防有更深一層的認識。 |
英文摘要 | Fungal infection after prosthetic arthroplasty is rare. We report on a 73-year-old woman who developed Candida parapsilosis infection after total knee arthroplasty. Diagnosis was made on the basis of repeated cultures of aspirated synovial fluid. The patient was treated with a 2-stage revision arthroplasty. In the first stage, infected prosthesis was removed and the affected tissue was carefully debrided. An appropriate intravenous anti-fungal agent (fluconazole) and antibiotics were given. In the second stage, revision total knee arthroplasty was done after the infection had been controlled (C-reactive proteine <0.5mg/dL), and fluconazole was given for another 68 days after the operation. The patient has remained well during about two months of follow-up, even after cessation of medication. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。