García-De La Torre Ignacio, Nava-Zavala Arnulfo
Department of Immunology and Rheumatology, Hospital General de Occidente, Secretaría de Salud, Justo Sierra 2821, Guadalajara CP 44690, México.
Rheum Dis Clin North Am. 2009 Feb;35(1):63-73. doi: 10.1016/j.rdc.2009.03.001.
Acute bacterial arthritis usually is caused by gonococcal or nongonococcal infection of the joints. Nongonococcal and gonococcal arthritis are the most potentially dangerous and destructive forms of acute arthritis. These bacterial infections of the joints are usually curable with treatment, but morbidity and mortality are still significant in patients who have underlying rheumatoid arthritis, patients who have prosthetic joints, elderly patients, and patients who have severe and multiple comorbidities. This article reviews the risk factors, pathogenesis, clinical manifestations, diagnosis, and treatment of nongonococcal and gonococcal arthritis.
急性细菌性关节炎通常由关节的淋球菌或非淋球菌感染引起。非淋球菌性和淋球菌性关节炎是急性关节炎最具潜在危险性和破坏性的形式。这些关节细菌感染通常经治疗可治愈，但对于患有潜在类风湿性关节炎的患者、有假体关节的患者、老年患者以及患有严重多种合并症的患者，发病率和死亡率仍然很高。本文综述了非淋球菌性和淋球菌性关节炎的危险因素、发病机制、临床表现、诊断和治疗。
