Bal B Sonny, Barrett Matthew
Department of Orthopaedic Surgery, University of Missouri, MC213, DC053.00, One Hospital Drive, Columbia, MO 65212, USA.
J Surg Orthop Adv. 2005 Winter;14(4):190-2.
This case report involves three patients in whom hip sepsis occurred in association with degenerative joint disease, in the absence of any risk factors for infection. The diagnosis had been missed on initial evaluation, and each patient had been referred to the authors' adult reconstructive service to have the arthritic hip replaced. In each instance, existing hip pain had worsened acutely. Further workup led to the correct diagnosis and appropriate treatment of the septic joint. These cases illustrate the value of differential diagnosis when treating patients with degenerative hip disease.
本病例报告涉及三名患者，他们在没有任何感染风险因素的情况下，因退行性关节病并发髋关节脓毒症。初次评估时漏诊，每名患者均被转诊至作者所在的成人重建服务部门，以置换患有关节炎的髋关节。在每种情况下，现有的髋关节疼痛都急剧加重。进一步检查得出了化脓性关节的正确诊断并进行了适当治疗。这些病例说明了在治疗退行性髋关节疾病患者时进行鉴别诊断的价值。
