Ulibarrena N, Andrés C, Bernaola E, Herranz M, Moreno L, García S
Seervicio de Pediatría, Complejo Hospitalario de Navarra, Pamplona.
An Sist Sanit Navar. 2013 Jan-Apr;36(1):163-6. doi: 10.4321/s1137-66272013000100024.
Septic arthritis of the hip is an acute infection, predominantly of bacterial etiology. Although Staphylococcus aureus is the primary pathogen in any age group, other potentially pathogenic microorganisms exist. We describe the case of an 18-month patient with septic arthritis of the hip with a rare causal agent (Haemophilus influenzae type F) and a good outcome. This case highlights the importance of considering other less common etiologic agents for septic arthritis in children, performing arthrocentesis with synovial fluid culture before starting antibiotic treatment, whenever this is possible. In addition, as in this case, it should be noted that a positive synovial fluid culture for Haemophilus influenzae forces typification of the bacteria in order to rule out or confirm a vaccine failure.
髋关节化脓性关节炎是一种主要由细菌引起的急性感染。尽管金黄色葡萄球菌是任何年龄组的主要病原体,但其他潜在致病微生物也存在。我们描述了一例18个月大患髋关节化脓性关节炎的患儿,其病原体罕见(F型流感嗜血杆菌),但预后良好。该病例强调了在儿童化脓性关节炎中考虑其他不太常见病因的重要性,尽可能在开始抗生素治疗前进行关节穿刺并进行滑液培养。此外,就像本病例一样,应注意滑液培养出流感嗜血杆菌呈阳性时,必须对细菌进行分型,以排除或确认疫苗接种失败。