Legius Barbara, Landuyt Kristel Van, Verschueren Patrick, Westhovens Rene
Division of Rheumatology, University Hospital KU Leuven, Belgium.
Open Rheumatol J. 2012;6:310-1. doi: 10.2174/1874312901206010310. Epub 2012 Nov 2.
A septic arthritis due to an indolent infection is a challenge for timely diagnosis. In recent years septic arthritides due to Staphylococcus Warneri are increasingly reported, mostly as a complication in patients with prosthetic devices. We report on a case of a 38 year old immunocompetent male with an indolent infection with this commensal of the skin after a stay at an intensive care unit and review the available literature. Tissue cultures obtained by arthroscopy might be helpful in obtaining a correct diagnosis.
由惰性感染引起的化脓性关节炎对于及时诊断来说是一项挑战。近年来,越来越多地报道了由沃纳葡萄球菌引起的化脓性关节炎,主要是作为假体装置患者的一种并发症。我们报告了一例38岁免疫功能正常男性的病例,该患者在重症监护病房停留后发生了由这种皮肤共生菌引起的惰性感染,并对现有文献进行了综述。通过关节镜检查获得的组织培养可能有助于做出正确诊断。