Postoperative infection after anterior cruciate ligament reconstruction caused by Finegoldia magna: a case report
10.3760/cma.j.cn121113-20220428-00242
- VernacularTitle:前十字韧带重建术后大芬戈尔德菌膝关节感染一例报告
- Author:
Rui GENG
1
;
Wenli CHEN
;
Yucheng LIN
;
Chun SHAN
;
Chenyan YUAN
;
Jun LU
Author Information
1. 东南大学附属中大医院骨科，南京 210009
- Keywords:
Sequence analysis, DNA;
Gram-positive bacterial infections;
Bacteria, anaerobic;
Anterior cruciate ligament reconstruction
- From:
Chinese Journal of Orthopaedics
2023;43(5):322-327
- CountryChina
- Language:Chinese
-
Abstract:
One case of knee infection after anterior cruciate ligament reconstruction caused by the gram-positive anaerobic bacterium Finegoldia magna was reported. The patient was admitted to hospital due to fever and knee joint swelling and pain after anterior cruciate ligament reconstruction. Through medical history, physical examination, imaging examination and next-generation sequencing, it was confirmed that the infection was caused by Finegoldia magna. Through literature review, 37 literatures on infectious diseases caused by Finegoldia magna was retrieved and analyzed, and the identification points of anaerobic bacteria, the application of second-generation sequencing technology and the treatment status of infection after anterior cruciate ligament reconstruction were reviewed. The incidence of infection after arthroscopic anterior cruciate ligament reconstruction is low, while anaerobic infection is even more rare and difficult to culture. The next-generation sequencing can be used to assist the diagnosis. On the basis of giving priority to the preservation of the reconstructed ligament, the combined use of arthroscopic debridement, irrigation and sensitive antibiotics is the main treatment method.
