Matthews Scott, Sloan Sam, McCaffrey Daniel, Ruiz Angel
Department of Orthopaedics, Locum ST3, General Surgery, Mater Hospital, Belfast, Northern Ireland.
Department of Orthopaedics, Clinical Fellow Spines, Royal Victoria Hospital, Belfast, Northern Ireland.
J Orthop Case Rep. 2017 Jan-Feb;7(1):46-49. doi: 10.13107/jocr.2250-0685.682.
Fungal joint infection can lead to serious consequences for those affected. It can often be a delayed diagnosis due to initial negative organism growth or lack of clinician awareness. Treatment should be early and aggressive to prevent patient morbidity and mortality.
We present a case of staphylococcal septic arthritis of the native hip joint with secondary superinfection by in a young patient with no appreciable risk factors. We explain the complexity of a delayed diagnosis and subsequent treatment.
This case highlights important learning points in terms of considering secondary fungal infection in any septic arthritis patient that does not respond to conventional antimicrobial treatment.
真菌性关节感染会给患者带来严重后果。由于最初病原体培养结果为阴性或临床医生缺乏认识，该病常常会延迟诊断。治疗应尽早且积极，以防止患者出现发病和死亡情况。
我们报告一例年轻患者原发性髋关节葡萄球菌性脓毒性关节炎继发真菌感染的病例，该患者无明显危险因素。我们阐述了延迟诊断及后续治疗的复杂性。
该病例突出了在任何对传统抗菌治疗无反应的脓毒性关节炎患者中考虑继发性真菌感染的重要经验教训。
