Peters Rosie, Virani Farzana, Haddadin Yazan, Baldowska Helena
Conquest Hospital, Hastings, UK.
Department of General Medicine, Conquest Hospital, Hastings, UK.
BMJ Case Rep. 2015 Feb 18;2015:bcr2014207607. doi: 10.1136/bcr-2014-207607.
Arthralgia is a rare but recognised complication of meningococcal septicaemia. We report a case of a 29-year-old man presenting with a 24 h history of fever, joint swelling and subsequent development of a non-blanching, petechial rash. He was treated for probable meningococcal septicaemia and the causative pathogen was later identified as Neisseria meningitidis. He was treated with ceftriaxone and after 10 days the pain and swelling in his joints improved.
关节痛是脑膜炎球菌败血症一种罕见但已得到确认的并发症。我们报告一例29岁男性病例,该患者有24小时发热、关节肿胀病史,随后出现非压褪色瘀点皮疹。他因疑似脑膜炎球菌败血症接受治疗,后来致病病原体被鉴定为脑膜炎奈瑟菌。他接受了头孢曲松治疗,10天后关节疼痛和肿胀有所改善。