Meldrum Russell, Feinberg Judy R
Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
South Med J. 2004 Jan;97(1):77-9. doi: 10.1097/01.SMJ.0000078683.13719.F7.
Salmonella septic arthritis in healthy individuals is a rare phenomenon in the United States. This case report chronicles the clinical course of a 41-year-old male farmworker who presented with a 3-week history of fever, chills, night sweats with pain, and swelling and redness of his left ankle. He had an open fracture of the ankle 2 years earlier that healed and was asymptomatic despite prior radiographic evidence of avascular necrosis of the talar dome. One month before presentation, he had an ipsilateral periungual abscess of the great toe that he opened and drained himself. Joint cultures were positive for Salmonella enteritidis that was successfully treated with a 6-week course of i.v. ceftriaxone.
在美国，健康个体发生沙门氏菌感染性关节炎是一种罕见现象。本病例报告记录了一名41岁男性农场工人的临床病程，该患者出现了为期3周的发热、寒战、盗汗伴疼痛，以及左脚踝肿胀和发红的症状。他在两年前曾有脚踝开放性骨折，骨折已愈合且无症状，尽管之前的影像学检查显示距骨穹窿有缺血性坏死迹象。在就诊前一个月，他的同侧大脚趾发生了甲沟炎脓肿，他自行切开并引流了脓肿。关节培养结果显示肠炎沙门氏菌呈阳性，通过静脉注射头孢曲松进行为期6周的治疗后成功治愈。
