Monoarthritis to Streptococcus pyogenes after nasal septoplasty: Interest of the nasal decontamination in preoperative

The nasal septoplasty is a very current intervention in otorhinolaryngology surgery. The infectious complications of this intervention are rare and mostly mild. We report here the case of a patient hospitalized in ambulatory surgery within a fracture of the nose with luxation of the septum in the na...

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Bibliographic Details
Published in:Médecine et maladies infectieuses 2010-09, Vol.40 (9), p.548-551
Main Authors: Gardes, S, Hellot, M, Tringali, S, Larbre, J-P, Biron, F, Llorca, G, Girard, R
Format: Article
Language:eng ; fre
Subjects:
Streptococcus pyogenes
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Summary:The nasal septoplasty is a very current intervention in otorhinolaryngology surgery. The infectious complications of this intervention are rare and mostly mild. We report here the case of a patient hospitalized in ambulatory surgery within a fracture of the nose with luxation of the septum in the nasal fossa. This patient was operated for a reduction of this fracture with septoplasty. Twelve hours after the intervention the patient presented septic arthritis due to Streptococcus pyogenes. The tracks of prevention are presented.Original Abstract: la septoplastie nasale est une intervention tres courante en chirurgie ORL. Les complications infectieuses de cette intervention sont rares et le plus souvent benignes. Nous rapportons ici le cas d'un patient hospitalise en chirurgie ambulatoire dans le cadre d'une fracture du nez avec luxation de la cloison septale dans la fosse nasale. Ce patient a ete opere pour une reduction de cette fracture avec septoplastie. Douze heures apres l'intervention le patient a presente une arthrite septique a Streptococcus pyogenes. Les pistes de prevention sont presentees
ISSN:0399-077X
DOI:10.1016/j.medmal.2009.11.001