Andole Sreeman Narayan, Gupta Shradha, Pelly Michael
Department of Geriatrics, Hemel Hempstead Hospital, Hemel Hempstead, UK.
BMJ Case Rep. 2011 Jun 29;2011:bcr0420114089. doi: 10.1136/bcr.04.2011.4089.
A 26-year-old man presented to accident and emergency with a 1-week history of fever, rigors and sudden onset of severe left testicular pain. The symptoms started without trauma and pain radiated to the abdomen and was worse on walking. He had raised temperature and inflammatory markers. He reattended 2 days later with progressive bilateral groin pain, night sweats and the blood cultures grew Staphylococcus aureus. Repeat cultures were sent and the patient was arranged to be followed up in clinic. He returned 5 days later with worsening symptoms. S aureus was grown from the second blood culture, so he was admitted for intravenous flucloxacillin. MRI of the pelvis showed a small fluid collection around the pubic symphysis and extensive periarticular bone marrow oedema consistent with septic arthritis and a retropubic abscess. He was treated with a 8-week course of flucloxacillin with complete resolution.
一名26岁男性因发热、寒战及突发左侧睾丸剧痛1周就诊于急诊。症状无外伤诱因起病，疼痛放射至腹部，行走时加重。他体温升高且炎症指标升高。2天后他再次就诊，出现进行性双侧腹股沟疼痛、盗汗，血培养结果为金黄色葡萄球菌生长。再次送检血培养，安排患者门诊随访。5天后他症状加重再次就诊。第二次血培养仍培养出金黄色葡萄球菌，因此他入院接受静脉注射氟氯西林治疗。骨盆磁共振成像显示耻骨联合周围有少量液体积聚，广泛的关节周围骨髓水肿，符合化脓性关节炎及耻骨后脓肿表现。他接受了为期8周的氟氯西林治疗，症状完全缓解。
