Shivamurthy V M, Gantt Soren, Reilly Christopher, Tilley Peter, Guzman Jaime, Tucker Lori
Division of Paediatric Rheumatology, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada V6H 3V4.
Division of Infectious Diseases, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada V6H 3V4.
Can J Infect Dis Med Microbiol. 2016;2016:3265037. doi: 10.1155/2016/3265037. Epub 2016 Apr 24.
We report a case of septic arthritis caused by a Bacillus species, B. pumilus, occurring in a healthy child. This organism rarely causes serious infections and has only been described in newborns and immunocompromised individuals or as a skin infection. This child developed an indolent joint swelling after a minor skin injury, and symptoms were initially thought most consistent with chronic arthritis. The case demonstrates that clinicians should consider joint infection in children presenting with acute monoarticular swelling, even without prominent systemic features.
我们报告一例由短小芽孢杆菌引起的脓毒性关节炎病例，该病例发生在一名健康儿童身上。这种微生物很少引起严重感染，仅在新生儿、免疫功能低下个体中或作为皮肤感染被描述过。该儿童在轻微皮肤损伤后出现了关节肿胀，起初症状被认为最符合慢性关节炎。该病例表明，临床医生对于出现急性单关节肿胀的儿童，即使没有明显的全身症状，也应考虑关节感染。
