免疫功能正常患者由非伤寒沙门氏菌感染引起的髋关节化脓性关节炎伴腰大肌脓肿。
Septic arthritis of the hip with psoas abscess caused by Non-typhi Salmonella infection in an immunocompetent patient.
作者信息
Compain Caroline, Michou Laetitia, Orcel Philippe, Hannouche Didier, Richette Pascal
机构信息
Fédération de Rhumatologie, Université Paris 7, UFR médicale, Assistance Publique-Hôpitaux de Paris, Hôpital Lariboisière, Centre Viggo Petersen, 2 rue Ambroise Paré 75475 Paris Cedex 10, France.
出版信息
Joint Bone Spine. 2008 Jan;75(1):67-9. doi: 10.1016/j.jbspin.2007.01.042. Epub 2007 Aug 28.
Osteoarticular infections caused by Non-typhi Salmonella are exceptionally encountered. We report a case of a bacteriologically documented hip infection associated with a psoas abscess due to Non-typhi Salmonella. A 64-year-old immunocompetent male was admitted in our department for pain and motion range limitation in the right hip with fever. Non-typhi Salmonella was recovered in joint fluid obtained by needle aspiration. Antimicrobial chemotherapy combined with surgical intervention was necessary for eradication of the infection. Physicians should be aware of this rare manifestation of Non-typhi Salmonella infections in non-debilitated patients.
非伤寒沙门氏菌引起的骨关节感染极为罕见。我们报告一例经细菌学证实的因非伤寒沙门氏菌导致的髋关节感染合并腰大肌脓肿病例。一名64岁免疫功能正常的男性因右髋疼痛、活动范围受限伴发热入住我科。通过针吸获取的关节液中培养出非伤寒沙门氏菌。根除感染需要抗菌化疗联合手术干预。医生应意识到在非体弱患者中这种非伤寒沙门氏菌感染的罕见表现。
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