Shamiss A, Thaler M, Nussinovitch N, Zissin R, Rosenthal T
Department of Medicine D, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Postgrad Med J. 1990 Jun;66(776):486-8. doi: 10.1136/pgmj.66.776.486.
We describe a 19 year old woman with systemic lupus erythematosus on corticosteroid therapy, who developed bilateral, multiple, gas-forming Salmonella enteritidis leg abscesses and osteomyelitis mimicking deep vein thrombosis. The infection was treated successfully by a combination of surgical drainage and intravenous ceftriaxone, followed by prolonged oral pefloxacin. This rare case of gas-producing S. enteritidis emphasizes the difficulty in diagnosing such complications in active systemic lupus erythematosus.
我们描述了一名19岁接受皮质类固醇治疗的系统性红斑狼疮女性患者，她出现了双侧多发性产气肠炎沙门氏菌腿部脓肿和类似深静脉血栓形成的骨髓炎。通过手术引流和静脉注射头孢曲松联合治疗，随后长期口服培氟沙星，成功治愈了该感染。这例罕见的产气肠炎沙门氏菌病例凸显了在活动性系统性红斑狼疮中诊断此类并发症的困难。
