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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/126652
Pyogenic arthritis of native joints due to Bacteroides fragilis: Case report and review of the literature
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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 54.417 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.
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NOLLA SOLÉ, Joan miquel, MURILLO RUBIO, Óscar, NARVÁEZ GARCÍA, Francisco javier, GÓMEZ VAQUERO, Carmen, LORA-TAMAYO MORILLO-VELARDE, Jaime, PEDRERO, Salvador, CABO CABO, Xavier, ARIZA CARDENAL, Javier. Pyogenic arthritis of native joints due to Bacteroides fragilis: Case report and review of the literature. _Medicine_. 2016. Vol. 95, núm. 25, pàgs. e3962. [consulta: 24 de gener de 2026]. ISSN: 0025-7974. [Disponible a: https://hdl.handle.net/2445/126652]