Pyogenic arthritis of native joints due to Bacteroides fragilis: Case report and review of the literature
| Autor: | Salvador Pedrero, Javier Ariza, Jaime Lora-Tamayo, Carmen Gómez Vaquero, Joan M. Nolla, Oscar Murillo, J. Cabo, Javier Narváez |
|---|---|
| Přispěvatelé: | Universitat de Barcelona |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Artritis infecciosa 030106 microbiology Arthritis Disease Artritis reumatoide 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Rheumatoid arthritis 030203 arthritis & rheumatology Medicina clínica biology business.industry Mortality rate Bacteris anaerobis General Medicine medicine.disease biology.organism_classification Surgery Infectious arthritis Metronidazole Anaerobic bacteria Concomitant Bacteremia Clinical medicine Bacteroides fragilis business medicine.drug |
| Zdroj: | Recercat. Dipósit de la Recerca de Catalunya instname Dipòsit Digital de la UB Universidad de Barcelona |
| Popis: | 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 54.4 ± 17 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|