髌骨隐球菌性骨髓炎：病例报告

Q4 Medicine JBJS case connector Pub Date : 2024-08-29 eCollection Date: 2024-07-01 DOI:10.2106/JBJS.CC.24.00304

Jacob Harper, Paul J Weatherby, Mark A Foreman

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引用次数: 0

摘要

病例一名 38 岁的女性因右膝关节疼痛和行走不便来我院就诊。在进行培养后，确诊为髌骨隐球菌感染。随后的检查发现了之前未确诊的艾滋病毒/艾滋病和播散性隐球菌感染：在长达 20 个月的治疗过程中，患者接受了氟康唑和抗逆转录病毒治疗，但用药依从性非常有限。播散性感染引起了皮肤、肝脏和大脑并发症。最终，患者的依从性有所改善，并完成了获取治疗后培养物和应用抗真菌骨基质的最后程序。患者清除了感染，但可能需要终生接受抗真菌治疗。

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Cryptococcal Osteomyelitis of the Patella: A Case Report.

Case: A 38-year-old woman presented to our clinic with right knee pain and difficulty ambulating. After cultures were obtained, a cryptococcal infection of the patella was identified. Subsequent workup revealed previously undiagnosed HIV/AIDS and a disseminated cryptococcal infection.

Conclusion: Over a 20-month course, the patient was treated with fluconazole and antiretroviral therapy with very limited medication compliance. The disseminated infection caused cutaneous, hepatic, and cerebral complications. Eventually, compliance improved, and a final procedure to obtain post-treatment cultures and apply antifungal bone matrix was completed. The patient cleared the infection and will likely require lifetime antifungal treatment.

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.