Marzouk S, El Aoud S, Hriz H, Jallouli M, Zribi W, Bahloul Z
Service de médecine interne, CHU Hédi Chaker, Sfax, Tunisie.
Service de médecine interne, CHU Hédi Chaker, Sfax, Tunisie.
Chir Main. 2013 Dec;32(6):420-3. doi: 10.1016/j.main.2013.08.002. Epub 2013 Aug 26.
Septic arthritis due to Salmonella in systemic lupus erythematosus is rare. We report a case of septic arthritis by Salmonella enteritidis which occurred during the evolution of systemic lupus erythematosus. A 23-year-old man was diagnosed as suffering from systemic lupus erythematosus. This diagnosis was taken on the basis of general symptoms, skin lesions, hemolytic anemia, thrombocytopenia and glomerulonephritis (class III). He was treated with three methylprednisolone boli related by high-dose regimen of prednisolone. A month and a half later, he presented fever with monoarthritis of the left elbow without any other new sign of underlying systemic disease. Bacteriological examinations isolated S. enteritidis. The patient improved with antibiotics and joint lavage. Feverish monoarthritis in systemic lupus erythematosus should be suspect to be septic arthritis. Appropriate treatment should be promptly instituted to improve the prognosis.
系统性红斑狼疮患者因沙门氏菌感染引起的化脓性关节炎较为罕见。我们报告一例肠炎沙门氏菌引起的化脓性关节炎，该病例发生在系统性红斑狼疮的病程中。一名23岁男性被诊断为患有系统性红斑狼疮。该诊断基于全身症状、皮肤病变、溶血性贫血、血小板减少和肾小球肾炎（III级）。他接受了三次与大剂量泼尼松龙相关的甲泼尼龙冲击治疗。一个半月后，他出现发热，伴有左肘单关节炎，无任何潜在全身性疾病的其他新体征。细菌学检查分离出肠炎沙门氏菌。患者经抗生素治疗和关节灌洗后病情好转。系统性红斑狼疮患者出现发热性单关节炎应怀疑为化脓性关节炎。应及时采取适当治疗以改善预后。
