Lee Y H D, Tan H W, Lee H C
Department of Orthopaedic Surgery, Changi General Hospital, 2 Simei Street 3, Singapore 529889.
Singapore Med J. 2008 Aug;49(8):e202-4.
We report a 43-year-old man who presented with features of acute wrist inflammation with scapholunate dissociation. Radiologically, erosions were noted in the proximal pole of the scaphoid. The patient underwent wrist arthrotomy, exploration and washout with intraoperative bacterial cultures and histology specimens were obtained. Histological analysis revealed the diagnosis of gout. We discuss the clinical presentation and literature review of this topic. This case illustrates that gout may mimic infection.
我们报告了一名43岁男性，其表现为急性腕关节炎症伴舟月骨分离。影像学检查发现舟骨近端有侵蚀。该患者接受了腕关节切开术、探查和冲洗，并获取了术中细菌培养物和组织学标本。组织学分析确诊为痛风。我们讨论了该病例的临床表现并对这一主题进行了文献综述。该病例表明痛风可能会被误诊为感染。
