RESUMO
A 56-year-old man with lymphoma developed orchitis followed by septic arthritis of his right glenohumeral joint. Synovial fluid cultures were negative but PCR amplification test was positive forUreaplasmaparvum. The patient was treated with doxycycline. Two and a half years later, the patient presented with shortness of breath and grade III/IV diastolic murmur on auscultation. Echocardiography revealed severely dilated left heart chambers, severe aortic regurgitation and several mobile masses on the aortic valve cusps suspected to be vegetations. He underwent valve replacement; valve tissue culture was negative but the 16S rRNA gene amplification test was positive for U. parvumHe was treated again with doxycycline. In an outpatient follow-up 1 year and 3 months later, the patient was doing well. Repeated echocardiography showed normal aortic prosthesis function.
Assuntos
Insuficiência da Valva Aórtica/diagnóstico , Valva Aórtica , Linfoma , Infecções por Ureaplasma/diagnóstico , Ureaplasma/isolamento & purificação , Insuficiência da Valva Aórtica/diagnóstico por imagem , Insuficiência da Valva Aórtica/microbiologia , Insuficiência da Valva Aórtica/cirurgia , Diagnóstico Diferencial , Implante de Prótese de Valva Cardíaca , Humanos , Masculino , Pessoa de Meia-Idade , Reação em Cadeia da Polimerase , RNA Ribossômico 16S , Ureaplasma/genética , Infecções por Ureaplasma/diagnóstico por imagem , Infecções por Ureaplasma/microbiologia , Infecções por Ureaplasma/cirurgiaRESUMO
We describe an infection with Ureaplasma urealyticum causing rapid loosening of a cemented total hip arthroplasty. When reviewing the literature we found that no such case has been reported previously. Taking intraoperative cultures for U urealyticum during revision surgery is not a standard procedure. In cases with rapid, presumed aseptic, loosening of a total hip arthroplasty, an infection with U urealyticum should be considered.
Assuntos
Artroplastia de Quadril , Prótese de Quadril/microbiologia , Infecções Relacionadas à Prótese/cirurgia , Infecções por Ureaplasma/cirurgia , Ureaplasma urealyticum/isolamento & purificação , Idoso , Feminino , Humanos , Falha de Prótese , Reoperação , Resultado do TratamentoRESUMO
Puerperal ovarian vein thrombophlebitis (POVT) is a rare but severe complication of the post partum period. We report on a patient, who developed a POVT based on an infection with Ureaplasma urealyticum and Mycoplasma hominis. Problems of diagnostic procedures in cases of POVT and the role of ureaplasma and mycoplasma in infectious obstetric complications are discussed.
