A组β溶血性链球菌引起的化脓性膝关节炎：1例预防中毒性休克的病例。

Pyogenic knee arthritis caused by group A β-hemolytic Streptococcus: a toxic shock-prevented case.

作者信息

Goto Masafumi, Gotoh Masafumi, Mitsui Yasuhiro, Shibata Hideaki, Okawa Takahiro, Higuchi Fujio, Shiba Naoto

机构信息

Department of Orthopedic Surgery, Kurume University Medical Center.

出版信息

Kurume Med J. 2014;61(1-2):31-4. doi: 10.2739/kurumemedj.MS63002. Epub 2014 Aug 25.

DOI:10.2739/kurumemedj.MS63002

PMID:25152247

Abstract

Pyogenic knee arthritis caused by group A β-hemolytic Streptococcus (GAS) is rare. GAS sometimes causes group A β-hemolytic streptococcal toxic shock syndrome. We encountered a case of pyogenic knee arthritis caused by GAS that resolved after appropriate treatment (emergency arthroscopic synovectomy and medication) administered within 48 h of onset. In cases of a history of another infection with acute knee joint pain, the possibility of GAS-induced pyogenic knee arthritis should be considered, and proper treatment should be administered immediately.

摘要

由A组β溶血性链球菌（GAS）引起的化脓性膝关节炎较为罕见。GAS有时会导致A组β溶血性链球菌中毒性休克综合征。我们遇到了一例由GAS引起的化脓性膝关节炎病例，在发病后48小时内给予适当治疗（急诊关节镜下滑膜切除术和药物治疗）后得以痊愈。对于有另一种感染病史且伴有急性膝关节疼痛的病例，应考虑GAS诱发化脓性膝关节炎的可能性，并应立即给予适当治疗。