膝关节急性单关节炎：一例感染合并假痛风的病例报告
Acute Mono-Arthritis of the Knee: A Case Report of Infection with and Concomitant Pseudogout.
作者信息
Dietvorst Martijn, Roerdink Ramon, Leenders Alexander C A P, Kiel Menno A, Bom L Paul A
机构信息
Maastricht University, Maastricht, The Netherlands.
Jeroen Bosch general hospital, 's-Hertogenbosch, The Netherlands.
出版信息
J Bone Jt Infect. 2016 Oct 1;1:65-67. doi: 10.7150/jbji.16124. eCollection 2016.
Abstract
is a rare pathogen for septic arthritis and is known for its subacute onset. We report a case of acute arthritis of the knee caused by and pseudogout. Initially, calcium pyrophosphate crystals were found in the knee, which were successfully treated with a steroid injection. Only anaerobic cultures became positive. A 16S rRNA PCR-analysis was necessary to identify as causative agent, a method which is never described before in similar cases. The infection was treated with clindamycin for 6 weeks. This is the third case report of a septic arthritis caused by and the second which also reports concomitant pseudogout.
摘要
是化脓性关节炎的一种罕见病原体，以亚急性起病而闻名。我们报告一例由和假性痛风引起的急性膝关节炎病例。最初，在膝关节发现了焦磷酸钙晶体，通过类固醇注射成功治疗。只有厌氧菌培养呈阳性。需要进行16S rRNA聚合酶链反应分析来鉴定为病原体，这是一种在类似病例中从未描述过的方法。感染用克林霉素治疗6周。这是第三例由引起的化脓性关节炎病例报告，也是第二例同时报告伴有假性痛风的病例。
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