Vikram H R, Buencamino R B, Aronin S I
Yale University School of Medicine, New Haven, CT 06520-8022, USA.
J Infect. 2001 May;42(4):279-81. doi: 10.1053/jinf.2001.0795.
Neisseria meningitidis is known to cause a spectrum of diseases, including bacteraemia without sepsis, meningococcaemia without meningitis, meningitis with or without meningococcaemia, and chronic meningococcaemia. Less common manifestations of meningococcal infection include pharyngitis, pneumonia, pericarditis, urethritis and arthritis. To our knowledge, there have been no previous reports of N. meningitidis causing prosthetic joint infection. Herein, we report a case of primary meningococcal arthritis in a woman with a prosthetic knee joint. After surgical drainage the prosthesis was retained and the patient received appropriate and prolonged antibiotic treatment. The outcome was favourable, as with primary meningococcal arthritis affecting native joints.
已知脑膜炎奈瑟菌可引发一系列疾病，包括无败血症的菌血症、无脑膜炎的脑膜炎球菌血症、伴有或不伴有脑膜炎球菌血症的脑膜炎以及慢性脑膜炎球菌血症。脑膜炎球菌感染较不常见的表现包括咽炎、肺炎、心包炎、尿道炎和关节炎。据我们所知，此前尚无脑膜炎奈瑟菌导致人工关节感染的报道。在此，我们报告一例患有人工膝关节的女性原发性脑膜炎球菌关节炎病例。手术引流后保留了假体，患者接受了适当且长期的抗生素治疗。结果良好，与原发性脑膜炎球菌关节炎累及天然关节的情况相同。
