Service de médecine interne et rhumatologie, groupe hospitalier Diaconesses-Croix Saint-Simon, 125, rue d'Avron, 75020 Paris, France.
Joint Bone Spine. 2013 Oct;80(5):531-3. doi: 10.1016/j.jbspin.2013.03.010. Epub 2013 Apr 25.
An immunocompetent 84-year-old woman was admitted for severe neck pain with a fever. Magnetic resonance imaging showed osteitis of the dens. She had methicillin-susceptible Staphylococcus aureus bacteremia related to a dental extraction. She then developed an infection of a hip prosthesis due to the same organism. Her treatment consisted in intravenous antibiotics followed by oral suppressive antibiotic therapy for 2 years. Exchange arthroplasty was not performed given the advanced age of the patient, her unwillingness to undergo the procedure, and the risk of neurological complications during endotracheal intubation. The outcome was favorable at last follow-up more than 2 years after antibiotic treatment initiation.
一位 84 岁免疫功能正常的女性因严重颈痛伴发热入院。磁共振成像显示齿状突骨炎。她患有耐甲氧西林金黄色葡萄球菌血症，与牙提取术有关。随后，她因同一病原体感染了髋关节假体。她的治疗包括静脉内抗生素治疗，然后进行 2 年的口服抑制性抗生素治疗。由于患者年龄较大、不愿意接受手术以及在气管插管期间发生神经并发症的风险，因此未进行关节置换术。在开始抗生素治疗后超过 2 年的最后一次随访时，结果良好。
