O'Connor Kim M, Williams Pamela, Pergam Steven A
Department of Medicine, University of Washington, Seattle, WA 98105, USA.
South Med J. 2008 Sep;101(9):961-2. doi: 10.1097/SMJ.0b013e31817fe04c.
A 90-year-old man was diagnosed with monoarticular arthritis due to pseudogout and Abiotrophia defectiva infection. A. defectiva is recognized as a cause of endocarditis, but is rarely described in septic arthritis. To our knowledge, this is one of the few case reports of septic arthritis due to this organism, and the first in association with pseudogout. This report supports the routine culture of synovial fluid and is further evidence for the role of A. defectiva in septic arthritis.
一名90岁男性被诊断为因假性痛风和缺陷乏养菌感染导致的单关节关节炎。缺陷乏养菌被认为是心内膜炎的病因,但在化脓性关节炎中很少被描述。据我们所知,这是少数几例由该微生物引起的化脓性关节炎病例报告之一,也是首例与假性痛风相关的病例。本报告支持对滑液进行常规培养,进一步证明了缺陷乏养菌在化脓性关节炎中的作用。