Cork University Hospital, Wilton, Cork, Ireland.
Foot Ankle Surg. 2011 Jun;17(2):e23-4. doi: 10.1016/j.fas.2010.09.001. Epub 2010 Oct 14.
Salmonella septic arthritis in healthy, immunocompetent patients is extremely rare. We present the case of a 70-year-old man who presented with a one-day history of painful swelling of his ankle from which was aspirated pus which subsequently grew Salmonella enteritidis. There was no history of trauma or symptoms consistent with Salmonella enterocolitis. Our patient recovered fully after two weeks on intravenous ceftriaxone and six weeks on oral ciprofloxacin. Salmonella is a notifiable disease in the European Union and the United States of America, and is associated with outbreaks as a result of food contamination. The nature of Salmonella arthritis and its appropriate management are outlined.
健康、免疫功能正常的患者发生沙门氏菌性败血症性关节炎极为罕见。我们报告了一例 70 岁男性,他因踝关节疼痛肿胀伴一天病史就诊,关节抽吸物培养出肠炎沙门氏菌。无创伤史,也无符合沙门氏菌性结肠炎的症状。我们的患者在静脉注射头孢曲松治疗 2 周和口服环丙沙星治疗 6 周后完全康复。沙门氏菌在欧盟和美国是一种法定报告疾病,与食物污染导致的暴发有关。本文概述了沙门氏菌性关节炎的性质及其适当的治疗方法。