Kauffman C A, Watanakunakorn C, Phair J P
J Rheumatol. 1976 Dec;3(4):409-19.
Twelve patients with pneumococcal arthritis are described. Seven of the 12 patients had underlying diseases which predisposed them to pneumococcal infections; five were alcoholics and two had hypogammaglobulinemia. Five patients had pre-existing joint disease prior to the onset of septic arthritis. Seven patients had co-existent pneumococcal infection, including meningitis and/or endocarditis in five. The other five patients had pneumococcal arthritis without evidence of other foci of pneumococcal infection. With penicillin therapy and drainage of the purulent joint fluid (by needle aspiration in four and surgical drainage in seven), the function of the involved joint returned to normal or to the previous baseline level in all but one patient.
本文描述了12例肺炎球菌性关节炎患者。12例患者中有7例患有易引发肺炎球菌感染的基础疾病；其中5例为酗酒者，2例患有低丙种球蛋白血症。5例患者在化脓性关节炎发作前就已存在关节疾病。7例患者同时存在肺炎球菌感染，其中5例伴有脑膜炎和/或心内膜炎。另外5例患者患有肺炎球菌性关节炎，但无其他肺炎球菌感染病灶的证据。通过青霉素治疗及引流脓性关节液（4例通过针吸，7例通过手术引流），除1例患者外，所有受累关节的功能均恢复正常或恢复到之前的基线水平。
