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Concurrent pseudogout and septic arthritis in native knee joint by ESBL-producing E. coli: Successful management with cefmetazole and surgery
Get PDFSeptic arthritis in native joints due to extended-spectrum beta-lactamase (ESBL)-producing bacteria is rare, and there is limited information in the current literature. An 85-year-old woman with rheumatoid arthritis experienced persistent left knee pain and mobility issues for several days. Initially, the patient was diagnosed with pseudogout by calcium pyrophosphate deposition and leukocytes in the aspiration fluid. However, joint puncture fluid culture on admission revealed the presence of ESBL-producing Escherichia coli, whereas magnetic resonance imaging showed effusion in the left knee joint and abnormal signal changes in the surrounding soft tissue. Cefmetazole was administered and the patient underwent orthopedic surgery involving arthritis scraping, debridement, and drainage. Post-intervention, she experienced alleviation of knee pain, leading to transfer to a rehabilitation facility on the 35th day of hospitalization. This case highlights an unusual septic arthritis case caused by ESBL-producing bacteria in a nonprosthetic pseudogout-affected joint, underscoring cefmetazole’s therapeutic potential.IDCases, 40, art. no. e02262; 2025journal articl
A novel stimulating electrode attachment method designed to maintain electromyography-based neuromuscular monitoring detectability during laparoscopic surgery: a single-center randomized, double-blind, controlled pilot study
Get PDF長崎大学学位論文 [学位記番号]博（医歯薬）甲第1658号 [学位授与年月日]令和7年3月19日(2025-03-19)thesi
Molecular and phenotypic characterization of Streptococcus pneumoniae isolates in a Japanese tertiary care hospital
Get PDF長崎大学学位論文 [学位記番号]博（医歯薬）甲第1660号 [学位授与年月日]令和7年3月19日(2025-03-19)thesi
Differences Between Medication-Related Osteonecrosis of the Jaw Caused by Bisphosphonates and Denosumab: Histological, Molecular Biological, and Clinical Studies
Get PDF長崎大学学位論文 [学位記番号]博（医歯薬）甲第1661号 [学位授与年月日]令和7年3月19日(2025-03-19)thesi
Anti-tumor Effects of Erlotinib via Thymidylate Synthase Down-regulation in Pancreatic Cancer Cells
Get PDF長崎大学学位論文 [学位記番号]博（医歯薬）甲第1664号 [学位授与年月日]令和7年3月5日(2025-03-05)thesi
Association between total functional tooth unit score and hemoglobin A1c levels in Japanese community-dwelling individuals: the Nagasaki Islands study
Get PDF長崎大学学位論文 [学位記番号]博（医歯薬）甲第1668号 [学位授与年月日]令和7年3月5日(2025-03-05)thesi
Prognostic Predictors of Hypertension Outcomes After Adrenalectomy in Primary Aldosteronism
Get PDF長崎大学学位論文 [学位記番号]博（医歯薬）甲第1680号 [学位授与年月日]令和7年3月19日(2025-03-19)thesi
In Vitro Synergistic Effects of Omadacycline with Other Antimicrobial Agents against Mycobacterium abscessus
Get PDF長崎大学学位論文 [学位記番号]博（医歯薬）甲第1700号 [学位授与年月日]令和7年3月19日(2025-03-19)thesi
