[西班牙一家大学医院的肺炎球菌性败血症性关节炎（1993 - 2003年）]
[Pneumococcal septic arthritis in a Spanish university hospital (1993- 2003)].
作者信息
Barahona Lucía, Soriano Francisco, Fernández-Robles Ricardo, Granizo Juan José, López-Durán Juan Carlos
机构信息
Departamento de Microbiología Médica, Fundacion Jimenez Diaz, Madrid, Spain.
出版信息
Enferm Infecc Microbiol Clin. 2005 Jan;23(1):22-4. doi: 10.1157/13070405.
INTRODUCTION
Cases of pneumococcal septic arthritis treated in the Fundación Jiménez Díaz (Madrid, Spain) were reviewed.
METHODS
A retrospective record review was conducted for all patients presenting with pneumococcal septic arthritis between January 1993 and August 2003.
RESULTS
Four patients out of a total of 267 reviewed had a clinical and microbiological diagnosis of septic arthritis caused by Streptococcus pneumoniae. The most frequent locations were the knee, ankle and tarsus. Three of the four patients had underlying diseases and one patient died.
CONCLUSIONS
Pneumococcal septic arthritis, a very rare clinical entity diagnosed by clinical and microbiological findings, should be suspected in patients with underlying disease. Early antibiotic therapy focussed on the most common microorganisms causing septic arthritis is necessary for optimal outcome.
引言
回顾了在西班牙马德里希门尼斯·迪亚斯基金会接受治疗的肺炎球菌性化脓性关节炎病例。
方法
对1993年1月至2003年8月期间所有出现肺炎球菌性化脓性关节炎的患者进行回顾性病历审查。
结果
在总共267例接受审查的患者中，有4例临床和微生物学诊断为肺炎链球菌引起的化脓性关节炎。最常见的发病部位是膝关节、踝关节和跗骨。4例患者中有3例有基础疾病，1例患者死亡。
结论
肺炎球菌性化脓性关节炎是一种通过临床和微生物学检查诊断的非常罕见的临床病症，有基础疾病的患者应怀疑患有此病。针对引起化脓性关节炎的最常见微生物进行早期抗生素治疗对于获得最佳疗效是必要的。
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