Calderón J, Peiró M E, Peñalver E
Unidad de Reumatología, Hospital General Virgen de la Luz, Cuenca.
Med Clin (Barc). 1992 Feb 1;98(4):137-8.
A 47-year-old man presented with arthritis of the right shoulder and spondylodiscitis by Streptococcus bovis. This microorganism is a frequent cause of endocarditis and has been associated with gastrointestinal neoplasm, mainly carcinoma of the colon; however up to the present it had not been described as an causal agent of septic arthritis. The studies carried out on the patient permitted the exclusion of the existence of a digestive neoplasm and endocarditis. Despite a prolonged evolution prior to treatment with elevated doses of penicillin G and not requiring surgical drainage, the evolution was good and no destructive lesions were produced in the shoulder joint. Hematogenous infections (in this case septic arthritis) by Streptococcus bovis may present in patients without gastrointestinal diseases or endocarditis, possibly have a low damage to skeletal structures and respond adequately to conventional treatment with penicillin G.
一名47岁男性因牛链球菌感染出现右肩关节炎和脊椎椎间盘炎。这种微生物是心内膜炎的常见病因，且与胃肠道肿瘤（主要是结肠癌）有关；然而，迄今为止它尚未被描述为化脓性关节炎的致病因子。对该患者进行的检查排除了消化道肿瘤和心内膜炎的存在。尽管在使用大剂量青霉素G治疗前病情进展时间较长且无需手术引流，但病情转归良好，肩关节未出现破坏性病变。牛链球菌引起的血源性感染（本例为化脓性关节炎）可能出现在无胃肠道疾病或心内膜炎的患者中，对骨骼结构的损害可能较小，对青霉素G的常规治疗反应良好。
