Ubhi S S, Cooke T J
Department of Surgery, Salisbury General Infirmary, Wilts, UK.
Postgrad Med J. 1990 Dec;66(782):1076-7. doi: 10.1136/pgmj.66.782.1076.
We describe two cases of septic arthritis occurring in association with lower urinary tract infection in elderly men. In both cases the organism isolated from both the joint and the urine was Staphylococcus aureus. Further investigation of the urinary tract in both individuals identified bladder outflow obstruction secondary to benign prostatic hyperplasia predisposing them to infection. The urinary tract should be suspected as a focus of infection in septic arthritis in elderly men and further investigation of the urinary system may disclose a surgically correctable lesion.
我们描述了两例老年男性发生的与下尿路感染相关的脓毒性关节炎病例。在这两例病例中,从关节和尿液中分离出的病原体均为金黄色葡萄球菌。对这两名患者的泌尿系统进一步检查发现,继发于良性前列腺增生的膀胱流出道梗阻使他们易患感染。老年男性脓毒性关节炎患者应怀疑泌尿系统是感染源,对泌尿系统的进一步检查可能会发现可通过手术纠正的病变。