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Periprosthetic knee joint infection caused by Brucella melitensis which was first-osteoarticular brucellosis or osteoarthrosis:A case report

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World Journal of Clinical Cases 2023年第3期11卷 677-683页

作者： thomas stumpner Regina Kuhn Josef Hochreiter Reinhold Ortmaier Department of Orthopaedic Surgery Ordensklinikum Linz Barmherzige SchwesternLinz 4010Austria

BACKGROUND Brucellosis is the most common zoonosis worldwide and is endemic in the Middle East,Africa,Asia,and Latin ***,it is uncommon in Central Europe,and periprosthetic infections caused by Brucella are therefore *** to the low prevalence and nonspecific clinical presentation of the disease,accurate diagnosis can be challenging;no gold standard currently exists for treating *** SUMMARY Here,we present a 68-year-old Afghan woman living in Austria with a periprosthetic knee infection caused by Brucella *** interval from total knee arthroplasty to septic loosening was five years.A profound medical history and examinations suggested that the patient had been suffering from unrecognized chronic osteoarticular brucellosis prior to total knee *** was successfully treated by two-stage revision surgery and combined antibiotic therapy over three *** Clinicians should consider brucellosis as a possible cause of chronic arthralgia and periprosthetic infection in patients originating from countries with a high brucellosis burden.

关键词： Brucellosis Arthroplasty Infection Osteoarticular Knee Case report

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Pancreatitis, panniculitis and polyarthritis syndrome: A case report

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World Journal of Clinical Cases 2023年第18期11卷 4412-4418页

作者： Hannes Pichler thomas stumpner Dietmar Schiller Martin Bischofreiter Reinhold Ortmaier Department of Orthopedic Surgery Ordensklinikum Linz Barmherzige SchwesternVinzenzgruppe Center of Orthopedic ExcellenceTeaching HospitalParacelsus Medical University SalzburgLinz 4010Austria Department of Gastroenterology Ordensklinikum Linz Barmherzige SchwesternLinz 4010Austria

BACKGROUND Pancreatitis,panniculitis,and polyarthritis(PPP)syndrome is a rare form of pancreatic *** is characterized by bullous erythematous skin lesions and arthritis,and both are triggered by pancreatic *** cases have been described in the literature thus *** to the inconsistency in its clinical presentation,its diagnosis can be a *** therapy initiation is essential to reduce mortality;however,there is currently no gold standard for *** SUMMARY A 66-year-old polymorbid male patient presented with several superficial abscesses on both lower legs and painful swelling in the *** for septic arthritis and septic skin infection over several weeks *** general condition deteriorated gradually and worsened with sudden onset of abdominal pain.A diagnosis of necrotizing pancreatitis was *** subsequently underwent a laparotomy and drainage of the ***,our patient improved,and his abdominal complaints,knee pain,and dermal lesions *** PPP syndrome is rare and easily misdiagnosed,as abdominal symptoms may be delayed or *** should consider PPP syndrome if they encounter refractory panniculitis in combination with joint infection.

关键词： Pancreatitis Panniculitis Polyarthritis Pancreatitis,panniculitis,and polyarthritis syndrome Septic arthritis Case report

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