[Monoarthritis caused by Streptococcus pyogenes after nasal septoplasty: interest of the nasal decontamination in preoperative care].
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.
Gardes
S
S
Unité d'Hygiène et d'Epidémiologie, Groupement Hospitalier Sud, Centre Hospitalier Lyon-Sud, Chemin du Grand-Revoyet, 69495 Pierre-Bénite, France. sophie.gardes@chu-lyon.fr
Hellot
M
M
Tringali
S
S
Larbre
J-P
JP
Biron
F
F
Llorca
G
G
Girard
R
R
D001170:Arthritis, Infectious / Q000382:microbiology* / Q000517:prevention & control; D003666:Decontamination; D006801:Humans; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000601:surgery*; D011183:Postoperative Complications / Q000382:microbiology* / Q000517:prevention & control; D011300:Preoperative Care / Q000592:standards*; D013290:Streptococcal Infections / Q000517:prevention & control; D013297:Streptococcus pyogenes