Coe M D, Hamer D H, Levy C S, Milner M R, Nam M H, Barth W F
Department of Medicine, Washington Hospital Center, Washington, DC 20010.
Arthritis Rheum. 1990 Sep;33(9):1438-41. doi: 10.1002/art.1780330919.
Pericarditis is one of the most frequent manifestations of systemic lupus erythematosus; however, purulent pericarditis and tamponade are rare. We describe a patient with systemic lupus erythematosus and culture-proven gonococcal arthritis who developed purulent pericarditis with intracellular gram-negative diplococci. Evidence of tamponade was seen on echocardiography. There has not been a reported case of Neisseria gonorrhoeae in pericardial fluid or tissue since the introduction of antibiotics.
心包炎是系统性红斑狼疮最常见的表现之一；然而，脓性心包炎和心包填塞却很罕见。我们描述了一名患有系统性红斑狼疮且经培养证实患有淋菌性关节炎的患者，该患者发展为伴有细胞内革兰氏阴性双球菌的脓性心包炎。超声心动图显示有心包填塞的迹象。自从使用抗生素以来，尚未有关于心包液或组织中存在淋病奈瑟菌的病例报道。
