腰椎小关节化脓性关节炎病例报告及文献复习

Septic arthritis of a lumbar facet joint case report and review of the literature.

作者信息

Smida Mahmoud, Lejri Mejed, Kandara Hajer, Sayed Meriem, Ben Chehida Ferid, Ben Ghachem Maher

机构信息

Department of Paediatric Orthopaedics, Tunis Children's Hospital, 1007 Bab Saadoun, Tunis, Tunisia.

出版信息

Acta Orthop Belg. 2004 Jun;70(3):290-4.

PMID:15287413

Abstract

Septic arthritis of a lumbar facet joint (SALFJ) is a very rare condition. It has mostly been described in adults. Only one other paediatric case has been reported. We present a case of septic arthritis of the left L5-S1 lumbar facet joint, associated with epiduritis and paraspinal abscess, in an 8-year-old boy. Plain radiographs and Technetium bone scan were negative. The diagnosis was made by blood cultures, which isolated staphylococcus epidermidis, and by MRI. The child was treated successfully with antibiotics only.

摘要

腰椎小关节化脓性关节炎（SALFJ）是一种非常罕见的病症。它大多在成人中被描述。仅另有一例儿科病例被报道。我们报告一例8岁男孩左侧L5 - S1腰椎小关节化脓性关节炎，伴有硬膜外炎和椎旁脓肿。X线平片和锝骨扫描均为阴性。诊断通过血培养（分离出表皮葡萄球菌）和磁共振成像（MRI）做出。该患儿仅用抗生素治疗成功。