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2016-06-25

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cc-by (c) Nolla Solé, Joan Miquel et al., 2016
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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Recurs relacionat

https://doi.org/10.1097/MD.0000000000003962

Resum

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.

Matèries

Artritis reumatoide, Artritis infecciosa, Bacteris anaerobis, Medicina clínica

Matèries (anglès)

Rheumatoid arthritis, Infectious arthritis, Anaerobic bacteria, Clinical medicine

Citació

Col·leccions

Articles publicats en revistes (Ciències Clíniques)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

Citació

NOLLA SOLÉ, Joan Miquel, et al. Pyogenic arthritis of native joints due to Bacteroides fragilis: Case report and review of the literature. Medicine. 2016. Vol. 95, num. 25, pags. e3962. ISSN 0025-7974. [consulted: 11 of August of 2026]. Available at: https://hdl.handle.net/2445/126652

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