Schlapbach P, Ambord C, Blöchlinger A M, Gerber N J
Rheumatologische Universitätsklinik, Inselspital, Bern.
Schweiz Med Wochenschr. 1989 Apr 29;119(17):521-6.
Bacterial arthritis is an emergency situation in which rapid diagnosis and immediate therapy are the main factors conditioning a satisfactory functional outcome. Not infrequently, bacterial arthritis may involve only mild clinical features, thus leading to a delay in diagnosis. The case histories of 43 patients with bacterial arthritis are reviewed retrospectively. Only 20.9% mentioned a history of rigor and less than half (40.5%) of the patients had a body temperature elevation above 38 degrees C. Other signs of bacterial infection (i.e. leukocytosis, positive blood cultures, synovial fluid pleocytosis) were less frequent than expected. Functional outcome was better for patients with a short latent period between the onset of clinical symptoms and initiation of treatment.
细菌性关节炎是一种紧急情况，快速诊断和立即治疗是决定获得满意功能结局的主要因素。细菌性关节炎常常仅表现为轻微的临床特征，从而导致诊断延误。我们对43例细菌性关节炎患者的病历进行了回顾性分析。仅有20.9%的患者提及有寒战病史，不到一半（40.5%）的患者体温高于38摄氏度。其他细菌感染迹象（如白细胞增多、血培养阳性、滑膜液细胞增多）的出现频率低于预期。临床症状出现至开始治疗的潜伏期较短的患者，其功能结局更好。
