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风湿病学中的脓毒性关节炎:五例病例回顾

Septic arthritis in rheumatology: review of five cases.

作者信息

Muhayidina Azura Dina, Said Mohd Shahrir Mohamed

机构信息

Medical Department UKM Medical Center, Malaysia.

出版信息

J Clin Med Res. 2009 Aug;1(3):173-7. doi: 10.4021/jocmr2009.08.1254. Epub 2009 Aug 4.

Abstract

UNLABELLED

This report illustrates five cases of patients admitted to medical ward in HUKM, diagnosed and treated as septic arthritis over the course of two months. Their age ranged from 32 to 67 years old with one patient had history of monoarticular pain and the other four had polyarticular pain. Two of these patients had pre-existing joint disease, namely gouty arthritis and rheumatoid arthritis, and another patient with background history of mixed connective tissue disease on long term steroid therapy. The diagnosis of septic arthritis was made mainly from clinical assessment, supported by synovial fluid assessment and blood investigations. All patients received minimum of two weeks intravenous antibiotic followed by one month course of antibiotic. All of them had arthrocentesis for diagnostic and therapeutic purposes and two had laparoscopic arthroscopy with wash out done.

KEYWORDS

Septic arthritis; Arthrocentesis; Arthroscopy.

摘要

未标注

本报告阐述了在马来西亚国家心脏研究所医学病房收治的5例患者,他们在两个月的时间里被诊断并治疗为化脓性关节炎。患者年龄在32至67岁之间,其中1例有单关节疼痛病史,另外4例有多关节疼痛。这些患者中有2例患有既往关节疾病,即痛风性关节炎和类风湿性关节炎,另有1例有混合性结缔组织病背景且长期接受类固醇治疗。化脓性关节炎的诊断主要基于临床评估,并得到滑液评估和血液检查的支持。所有患者至少接受了两周的静脉抗生素治疗,随后进行了为期一个月的抗生素疗程。他们均接受了关节穿刺术以用于诊断和治疗目的,其中2例进行了腹腔镜关节镜冲洗术。

关键词

化脓性关节炎;关节穿刺术;关节镜检查。

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本文引用的文献

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Septic arthritis: current diagnostic and therapeutic algorithm.化脓性关节炎:当前的诊断与治疗流程
Curr Opin Rheumatol. 2008 Jul;20(4):457-62. doi: 10.1097/BOR.0b013e3283036975.
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Does this adult patient have septic arthritis?这位成年患者患有化脓性关节炎吗?
JAMA. 2007 Apr 4;297(13):1478-88. doi: 10.1001/jama.297.13.1478.
4
Management of septic arthritis: a systematic review.脓毒性关节炎的管理:一项系统综述。
Ann Rheum Dis. 2007 Apr;66(4):440-5. doi: 10.1136/ard.2006.058909. Epub 2007 Jan 12.
5
Another look at synovial fluid leukocytosis and infection.再看滑液白细胞增多与感染
J Clin Rheumatol. 2002 Apr;8(2):67-71. doi: 10.1097/00124743-200204000-00001.
6
Successful treatment of postvenereal reactive arthritis with synovectomy and 3 months' azithromycin.
J Clin Rheumatol. 2005 Oct;11(5):257-63. doi: 10.1097/01.rhu.0000182153.18181.81.
8
Florid polyarticular gout mimicking septic arthritis.酷似化脓性关节炎的 florid 多关节痛风。
Clin Nucl Med. 2004 Apr;29(4):262-3. doi: 10.1097/01.rlu.0000117889.59537.50.

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