近期关节镜手术后发生三例脓毒性关节炎。
Three cases of septic arthritis following a recent arthroscopic procedure.
作者信息
Rowton Joseph
机构信息
Department of Hospital Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK.
出版信息
BMJ Case Rep. 2013 Jan 22;2013:bcr2012007507. doi: 10.1136/bcr-2012-007507.
We report three cases of septic arthritis in patients who presented with a painful, swollen and supurative knee joint following a recent arthroscopic procedure, 8-15 days prior to attendance. In all three cases, patients presented with pain and swelling of the affected knee joint with discharge from the port sites. All were sent for washout of the affected joint and received intravenous antibiotic cover. Any patient presenting within 1 month of a recent arthroscopic procedure with pain and swelling of that joint should be presumed to have septic arthritis until proven otherwise. They must have urgent treatment in the form of joint washout and intravenous antibiotics, and receive 6 weeks oral antibiotics on discharge.
我们报告了3例化脓性关节炎病例，这些患者在就诊前8 - 15天最近接受关节镜检查后，出现膝关节疼痛、肿胀及化脓。所有3例患者均表现为受累膝关节疼痛、肿胀，且穿刺部位有渗液。所有患者均接受了受累关节冲洗，并接受静脉抗生素治疗。任何在最近一次关节镜检查后1个月内出现关节疼痛和肿胀的患者，在未得到其他诊断之前，均应被假定为患有化脓性关节炎。他们必须接受紧急治疗，包括关节冲洗和静脉使用抗生素，并在出院时接受6周的口服抗生素治疗。
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