戈登链球菌性化脓性关节炎：两例病例报告及文献复习。
Streptococcus gordonii septic arthritis: two cases and review of literature.
机构信息
Departement of Internal Medicine and Infectious Diseases, Cliniques Universitaires Saint Luc, Université catholique de louvain, Brussels, Belgium.
出版信息
BMC Infect Dis. 2012 Sep 13;12:215. doi: 10.1186/1471-2334-12-215.
BACKGROUND
Despite advances in antimicrobial and surgical therapy, septic arthritis remains a rheumatologic emergency that can lead to rapid joint destruction and irreversible loss of function. In adults, Staphylococcus aureus is the most common microorganism isolated from native joints. Streptococcus gordonii is a prominent member of the viridans group of oral bacteria and is among the bacteria most frequently identified as being primary agent of subacute bacterial endocarditis. To the best of our knowledge, Streptococcus gordonii has not yet been described as agent of septic arthritis.
CASE PRESENTATION
We describe here two cases of septic arthritis due to Streptococcus gordonii. It gives us an opportunity to review epidemiology, diagnosis criteria and management of septic arthritis.
CONCLUSION
Although implication of S. gordonii as aetiologic agent of subacute endocarditis is well known, this organism is a rare cause of septic arthritis. In this case, the exclusion of associated endocarditis is warranted.
背景
尽管抗菌药物和外科治疗取得了进展，但脓毒性关节炎仍是一种风湿急症，可导致关节迅速破坏和功能不可逆转丧失。在成人中，金黄色葡萄球菌是从原生关节中分离出的最常见微生物。戈登链球菌是口腔细菌草绿色链球菌群的重要成员，也是最常被确定为亚急性细菌性心内膜炎主要病原体的细菌之一。据我们所知，戈登链球菌尚未被描述为脓毒性关节炎的病原体。
病例介绍
我们在此描述两例由戈登链球菌引起的脓毒性关节炎病例。这使我们有机会回顾脓毒性关节炎的流行病学、诊断标准和治疗。
结论
尽管 S. gordonii 作为亚急性心内膜炎的病原体已有明确的报道，但该菌很少引起脓毒性关节炎。在这种情况下，需要排除相关的心内膜炎。
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