Oppermann Brian P, Cote Jonida K, Morris Stephanie J, Harrington Thomas
Department of Rheumatology, Geisinger Health System, 200 Scenery Drive, Danville, PA 16801, USA.
Case Rep Infect Dis. 2011;2011:942023. doi: 10.1155/2011/942023. Epub 2011 Oct 13.
Purpose. Pseudoseptic arthritis is an acute inflammatory monoarthritis with a sterile synovial gram stain and culture. Pseudoseptic arthritis has been previously described in the literature in a variety of settings including rheumatoid arthritis and microcrystalline disease. Despite pseudoseptic arthritis being a described entity, there is little published data on this topic with no published reports since 1992. Methods. This paper was a retrospective chart review over a 20-year period that identified all rheumatology inpatient consultations at our tertiary rural hospital for pseudoseptic arthritis. Results. We identified 10 patients with pseudoseptic arthritis and presented 5 of those cases in this paper. Majority of these patients had known autoimmune inflammatory arthritis or microcrystalline inflammatory arthritis. Conclusion. Pseudoseptic arthritis is a syndrome that should be in the differential diagnosis with patients with long standing inflammatory condition who present with an acute monoarthritis with no known bacterial source for septic arthritis.
目的。假性化脓性关节炎是一种急性炎症性单关节炎，滑膜革兰氏染色和培养无菌。假性化脓性关节炎此前在包括类风湿关节炎和微晶疾病在内的各种情况下的文献中已有描述。尽管假性化脓性关节炎是一个已被描述的实体，但关于该主题的已发表数据很少，自1992年以来没有发表过相关报告。方法。本文是一项为期20年的回顾性病历审查，确定了我们农村三级医院所有因假性化脓性关节炎进行的风湿病住院会诊。结果。我们确定了10例假性化脓性关节炎患者，并在本文中介绍了其中5例。这些患者大多数患有已知的自身免疫性炎症性关节炎或微晶性炎症性关节炎。结论。假性化脓性关节炎是一种综合征，对于患有长期炎症性疾病且出现急性单关节炎且无已知化脓性关节炎细菌来源的患者，应将其列入鉴别诊断。
