Martínez-Morillo Melania, Mateo Soria Lourdes, Riveros Frutos Anne, Tejera Segura Beatriz, Holgado Pérez Susana, Olivé Marqués Alejandro
Servicio de Reumatología, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, España.
Servicio de Reumatología, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, España.
Reumatol Clin. 2014 Jan-Feb;10(1):37-42. doi: 10.1016/j.reuma.2013.06.002. Epub 2013 Oct 1.
Septic pyogenic arthritis of the acromioclavicular joint is a rare entity that occurs in immunosuppressed patients or those with discontinuity of defense barriers. There are only 15 cases described in the literature. The diagnosis is based on clinical features and the isolation of a microorganism in synovial fluid or blood cultures. The evidence of arthritis by imaging (MRI, ultrasound or scintigraphy) may be useful. Antibiotic treatment is the same as in septic arthritis in other locations. Staphylococcus aureus is the microorganism most frequently isolated. Our objective was to describe the clinical features, treatment and outcome of patients diagnosed with septic arthritis of the acromioclavicular joint at a Rheumatology Department. We developed a study with a retrospective design (1989-2012). The medical records of patients with septic arthritis were reviewed (101 patients). Those involving the acromioclavicular joint were selected (6 patients; 6%).
肩锁关节化脓性关节炎是一种罕见的疾病，发生于免疫抑制患者或防御屏障中断的患者。文献中仅描述了15例。诊断基于临床特征以及在滑液或血培养中分离出微生物。影像学（MRI、超声或闪烁扫描）显示的关节炎证据可能有用。抗生素治疗与其他部位的化脓性关节炎相同。金黄色葡萄球菌是最常分离出的微生物。我们的目的是描述在风湿病科诊断为肩锁关节化脓性关节炎患者的临床特征、治疗及转归。我们开展了一项回顾性研究（1989 - 2012年）。对化脓性关节炎患者的病历进行了回顾（101例患者）。选取其中累及肩锁关节的患者（6例；6%）。
