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学科主题: 临床医学
题名:
Fungal osteomyelitis after arthroscopic anterior cruciate ligament reconstruction: a case report with review of the literature
作者: Sun, Lei1; Zhang, Lei1; Wang, Kai2; Wang, Wei3; Tian, Min1
关键词: ACL reconstruction ; Knee ; Fungal infection ; Osteomyelitis ; Bone loss
刊名: KNEE
发表日期: 2012-10-01
DOI: 10.1016/j.knee.2011.10.007
卷: 19, 期:5, 页:728-731
收录类别: SCI
文章类型: Review
WOS标题词: Science & Technology
类目[WOS]: Orthopedics ; Sport Sciences ; Surgery
研究领域[WOS]: Orthopedics ; Sport Sciences ; Surgery
关键词[WOS]: SEPTIC ARTHRITIS ; INFECTION
英文摘要:

Fungal osteomyelitis is a very rare complication after anterior cruciate ligament (ACL) reconstruction associated with catastrophic consequences. Herein, we present a case of such disastrous complication after ACL reconstruction. A 23-year-old man developed fever, swelling and pain of the affected knee from 18 days after arthroscopic ACL reconstruction. Therefore, he underwent arthroscopic debridement, removal of the graft and internal fixators, irrigation and suction drainage, successively. Negative results for serial bacterial cultures and smear examinations are obtained. However, computer tomography and X-ray examination showed massive bone destruction at 48 days after ACL reconstruction. As the first open debridement was performed at 50 days after ACL reconstruction, fungal infection was diagnosed based on finding Aspergillus hyphae in pathologic examination of the debrided bone sample. After the final debridement, a 12-cm bone loss in the distal femur was treated by llizarov′s bone transport. The patient got solid arthrodesis of the affected knee without clinical infection at a year after the initial operation. In addition, a review of the literature regarding case reports of fungal osteomyelitis after ACL reconstruction is presented. (C) 2011 Elsevier B.V. All rights reserved.

语种: 英语
WOS记录号: WOS:000309313500044
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/59011
Appears in Collections:北京大学第三临床医学院_期刊论文

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作者单位: 1.Beijing Univ, Hosp 3, Beijing 100871, Peoples R China
2.Beijing Osteomyelitis Hosp, Beijing, Peoples R China
3.88th Hosp PIA, Orthopaed Ctr PLA, Tai An 271000, Shandong, Peoples R China

Recommended Citation:
Sun, Lei,Zhang, Lei,Wang, Kai,et al. Fungal osteomyelitis after arthroscopic anterior cruciate ligament reconstruction: a case report with review of the literature[J]. KNEE,2012,19(5):728-731.
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