Takemoto Richelle C, Strongwater Allan M
Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY 10003, USA.
J Pediatr Orthop B. 2009 Sep;18(5):248-51. doi: 10.1097/BPB.0b013e32832d84a1.
Peripelvic infections are rare, compared with the incidence of septic hip arthritis, but are serious, requiring emergent treatment. They often are not included in differential diagnoses for patients presenting with fever, pain, inability to bear weight, elevated white blood cell count, and elevated erythrocyte sedimentation rate. Most patients are treated initially as a septic hip arthritis. Early diagnosis and treatment are crucial to outcome in peripelvic abscess. Use of MRI may help to elucidate the correct diagnosis. Previously reported peripelvic infections included obturator internus and externus, and psoas, but to the best of our knowledge, this is first case report of infection of the ischiopubic ramus synchondrosis presenting as septic arthritis.
与化脓性髋关节炎的发病率相比,盆腔周围感染较为罕见,但病情严重,需要紧急治疗。对于出现发热、疼痛、无法负重、白细胞计数升高和红细胞沉降率升高的患者,盆腔周围感染通常不在鉴别诊断范围内。大多数患者最初被当作化脓性髋关节炎进行治疗。早期诊断和治疗对于盆腔周围脓肿的预后至关重要。使用磁共振成像(MRI)可能有助于明确正确诊断。先前报道的盆腔周围感染包括闭孔内肌和闭孔外肌以及腰大肌感染,但据我们所知,这是首例耻骨坐骨支软骨结合部感染表现为化脓性关节炎的病例报告。