Lepore L, Randi M
Clinica Pediatrica dell'Università di Trieste, Italia.
Pediatr Med Chir. 1990 Sep-Oct;12(5):443-6.
Septic arthritis is a serious medical problem that should be promptly recognized and requires appropriate treatment to avoid permanent joint damage. The disease is caused by several different microorganisms but the most frequent in children and in adults is Staphylococcus aureus. Pathogenetic mechanism, general (antiblastic therapy, diabetes, rheumatoid arthritis) and local (intra-articular injections) promoting factors are discussed. Usefulness of laboratory and radiological investigations is debated. Finally indications for needle aspiration, adequate drainage as well as guide lines on general and local antibiotic therapy are reported.
化脓性关节炎是一个严重的医学问题，应及时识别并需要适当治疗以避免永久性关节损伤。该疾病由几种不同的微生物引起，但在儿童和成人中最常见的是金黄色葡萄球菌。文中讨论了发病机制、一般（抗增殖治疗、糖尿病、类风湿性关节炎）和局部（关节内注射）促发因素。实验室和放射学检查的实用性存在争议。最后报告了关节穿刺抽吸术的适应证、充分引流以及全身和局部抗生素治疗的指南。
