Dhaliwal Sandeep, LeBel Marie-Eve
Fowler-Kennedy Sport Medicine Clinic, University of Western Ontario, London, Ontario, Canada.
Am J Orthop (Belle Mead NJ). 2012 Jul;41(7):E100-1.
Septic arthritis is an orthopedic emergency that can lead to significant morbidity and mortality. Polyarticular involvement is a relatively rare phenomenon occurring primarily in high-risk patients. In this article, we report the rare case of a patient with rheumatoid arthritis presenting with an acute episode of septic arthritis involving most of the joints of the body. Surprisingly, his bilateral total hip arthroplasties were completely unaffected. Unusual polyarticular presentations of septic arthritis, though rare, must still be considered within the differential diagnosis by all healthcare providers when treating certain high-risk groups.
化脓性关节炎是一种骨科急症，可导致严重的发病和死亡。多关节受累是一种相对罕见的现象，主要发生在高危患者中。在本文中，我们报告了一例类风湿关节炎患者的罕见病例，该患者出现了累及身体大部分关节的化脓性关节炎急性发作。令人惊讶的是，他的双侧全髋关节置换术完全未受影响。化脓性关节炎不寻常的多关节表现虽然罕见，但在治疗某些高危人群时，所有医疗保健提供者在鉴别诊断中仍必须予以考虑。
