Nishiguchi Sho, Sekine Ichiro, Kuroda Shun, Sato Morihiko, Kitagawa Izumi
Department of General Internal Medicine, Shonan Kamakura General Hospital, Japan.
Department of Infection Control and Prevention, Shonan Kamakura General Hospital, Japan.
Intern Med. 2017;56(8):967-972. doi: 10.2169/internalmedicine.56.7906. Epub 2017 Apr 15.
A 61-year-old woman was admitted with severe hip pain causing immobility and high serum levels of inflammatory markers. The patient had a medical history of diabetes. She had been scheduled to undergo right hip replacement surgery for the treatment of osteoarthritis associated with gradually progressive pain. On admission, an enhanced abdominal computed tomography scan showed an abnormal increase in synovial fluid surrounding the right ilium, with piriformis muscle calcification. Subsequent blood and specimen cultures identified Campylobacter fetus subspecies fetus. This is a rare report of a case of myositis ossificans followed by C. fetus pyogenic arthritis of the hip.
一名61岁女性因严重髋部疼痛导致行动不便且炎症标志物血清水平升高而入院。该患者有糖尿病病史。她原计划接受右髋关节置换手术以治疗与逐渐加重的疼痛相关的骨关节炎。入院时,腹部增强计算机断层扫描显示右髂骨周围滑液异常增多,伴有梨状肌钙化。随后的血液和标本培养鉴定出胎儿弯曲杆菌胎儿亚种。这是一例骨化性肌炎继发胎儿弯曲杆菌性髋关节炎的罕见病例报告。