Pezone Ilaria, Penna Maria Rosa Della, Flamini Stefano, Nigro Giovanni
Department of Pediatrics, University of L'Aquila, L'Aquila, Italy.
Int J Infect Dis. 2009 Jan;13(1):e35-6. doi: 10.1016/j.ijid.2008.06.002. Epub 2008 Aug 15.
We report the case of an immunocompetent child who showed monoarticular arthritis and fever, preceded by pharyngitis and arthralgias. Because group A beta-hemolytic Streptococcus had been detected in the pharyngeal swab, erythromycin was given on admission. However, based on ultrasound examination, therapy with ceftriaxone and joint fluid drainage were promptly performed, and a rapid and full recovery followed. Meanwhile, Salmonella enterica infection was revealed in blood and joint fluid. Our case suggests that septic arthritis caused by a non-typhoidal Salmonella infection may occur without gastrointestinal manifestations and concomitantly with a pharyngeal streptococcal infection.
我们报告了一例免疫功能正常的儿童病例，该患儿在出现咽炎和关节痛后，表现为单关节关节炎和发热。由于咽拭子检测出A组β溶血性链球菌，入院时给予了红霉素治疗。然而，基于超声检查结果，立即给予头孢曲松治疗并进行关节液引流，随后患儿迅速完全康复。同时，血液和关节液检测发现了肠炎沙门氏菌感染。我们的病例表明，非伤寒沙门氏菌感染引起的化脓性关节炎可能在无胃肠道表现的情况下发生，且与咽部链球菌感染同时出现。
