摘要
该文报道前交叉韧带重建术后感染黄曲霉1例。患者男,26岁。因陈旧性交叉韧带断裂在某医院行自体肌腱右膝前交叉韧带重建术。术后1周发生感染症状,常规抗细菌药物无效。根据病史、临床表现及真菌培养诊断为黄曲霉关节感染。经过关节腔内5%碳酸氢钠溶液冲洗并关节腔内两性霉素B灌注给药(1%两性霉素B 20 m L,qd),联合伏立康唑(200 mg,q12 h)口服抗真菌治疗,28 d后病情好转出院。
This is a report of knee joint infection caused by Aspergillus flavus after anterior cruciate ligament reconstruction.A 26？year-old man was performed a surgery of cruciate ligament reconstruction with autologous tendon because of old cruciate ligament rup-ture.The symptoms of knee joint infection happened one week after the surgery and conventional anti-bacterial drugs showed ineffec-tive.According to the history,clinical symptoms and the fungal culture positive with Aspergillus flavus,the patient was diagnosed as a fungal infection after surgery caused by Aspergillus flavus.After rinsing the joint cavity with 5% sodium bicarbonate solution and the use of amphotericin B （ 1% amphotericin B 20 mL,qd） infusion administration,combination use of voriconazole （ 200 mg,q12 h） o-ral for anti-fungal treatment,the patient’ s infection condition improved and was discharged after 28 days.
出处
《中国真菌学杂志》
CSCD
2015年第1期37-38,共2页
Chinese Journal of Mycology
关键词
黄曲霉
前交叉韧带重建术
感染
Aspergillus flavus
anterior cruciate ligament reconstruction
infection
