en باکتری شناسی پزشکی Medical Bacteriology مقاله گزارش مورد Case report Article <p style="text-align: justify;"><span style="font-size:16px;"><span style="font-family:Times New Roman;"><b><span style="background:#1f497d"><span style="color:white"><span style="letter-spacing:-.1pt">Background and Aim:</span></span></span></b><span style="color:black">&nbsp;</span></span></span><span style="color:#000000;"><span style="font-size:16px;"><span style="font-family:Times New Roman;"><span style="line-height:150%"><i><span style="line-height:150%">Gordonia (G.) bronchialis</span></i><span style="line-height:150%"> is a saprophytic bacterium, but the incidence rate of infections caused by it is increasing. We report a rare case of arthritis caused by <i>this bacterium</i> in a patient with hip involvement.</span></span></span></span></span><br> <span style="font-size:16px;"><span style="font-family:Times New Roman;"><b><span style="background:#1f497d"><span style="color:white"><span style="letter-spacing:-.1pt">Case Presentation:</span></span></span></b><span style="color:black"> </span></span></span><span style="color:#000000;"><span style="font-size:16px;"><span style="font-family:Times New Roman;"><span style="line-height:150%"><span style="line-height:150%">A 66-year-old female patient with complaints of pain in the right hip joint and right groin area sought medical help 10 months after the endoprosthetics surgery. Physical examination did not reveal local inflammatory processes, but blood tests revealed increased inflammation markers. To verify the diagnosis, a hip puncture was performed with subsequent bacteriological examination, including MALDI-TOF mass spectrometry method, which resulted in <i>G bronchialis</i> detection.</span></span></span></span></span><br> <span style="font-size:16px;"><span style="font-family:Times New Roman;"><b><span style="background:#1f497d"><span style="color:white"><span style="letter-spacing:-.1pt">Conclusion:</span></span></span></b><span style="color:black">&nbsp;</span></span></span><span style="color:#000000;"><span style="font-size:16px;"><span style="font-family:Times New Roman;"><span style="line-height:150%"><span style="line-height:150%">The patient underwent surgical treatment &ndash; a two-stage revision endoprosthetics of the right hip joint. In the postoperative period, the patient received parenteral antibiotic therapy with vancomycin and ciprofloxacin. Upon discharge, oral ciprofloxacin was prescribed for six weeks. A control hip joint aspiration revealed no microbial growth in the synovial fluid. The periprosthetic joint infection was controlled, and the patient was approved for the second-stage operation.</span></span></span></span></span></p> Arthritis, Gordonia bronchialis, Hip Joint, Synovial Fluid 7 7 http://ijmm.ir/browse.php?a_code=A-10-2878-2&slc_lang=en&sid=1 Andrei Kozlov a.v.kozlov@samsmu.ru 100319475328460033884 100319475328460033884 No Research and Educational Professional Center for Genetic and Laboratory Technologies, Samara State Medical University, Samara, Russian Federation Liliya Shafigullina l.r.shafigullina@samsmu.ru 100319475328460033885 100319475328460033885 Yes Research and Educational Professional Center for Genetic and Laboratory Technologies, Samara State Medical University, Russian Federation Dmitry Kudashev d.s.kudashev@samsmu.ru 100319475328460033886 100319475328460033886 No Department of Traumatology, Orthopedics and Extreme Surgery named after Academician of the Russian Academy of Sciences A.F. Krasnov, Samara State Medical University, Samara, Russian Federation Maria Sefedinova m.yu.sefedinova@samsmu.ru 100319475328460033887 100319475328460033887 No Department of General Surgery and Surgical Diseases, Samara State Medical University, Samara, Russian Federation Artem Lyamin a.v.lyamin@samsmu.ru 100319475328460033888 100319475328460033888 No Research and Educational Professional Center for Genetic and Laboratory Technologies, Samara State Medical University, Samara, Russian Federation Andrey Knyazev a.a.knyazev@samsmu.ru 100319475328460033889 100319475328460033889 No Department of Traumatology, Orthopedics and Extreme Surgery named after Academician of the Russian Academy of Sciences A.F. Krasnov, Samara State Medical University, Samara, Russian Federation Anastasia Abramova nastenka_abramova_03@mail.ru 100319475328460033890 100319475328460033890 No Research and Educational Professional Center for Genetic and Laboratory Technologies, Samara State Medical University, Samara, Russian Federation Viktoriia Ulivanova v.a.ulivanova@samsmu.ru 100319475328460033891 100319475328460033891 No Research and Educational Professional Center for Genetic and Laboratory Technologies, Samara State Medical University, Samara, Russian Federation