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非手术膝关节的化脓性关节炎:一例报告

Septic Arthritis of the Nonoperated Knee: A Case Report.

作者信息

Okoroha Kelechi R, Gabbard Michael D, Fitts Jamal, Banka Trevor R

机构信息

Department of Orthopedic Surgery, Henry Ford Hospital, Detroit, Michigan.

Morehouse School of Medicine, Atlanta, Georgia.

出版信息

Surg J (N Y). 2017 Jul 5;3(3):e107-e109. doi: 10.1055/s-0037-1603970. eCollection 2017 Jul.

Abstract

, a gram-positive bacillus with low pathogenicity, is an uncommon but known cause of prosthetic joint infections, particularly related to shoulder surgery. , however, is an extremely rare pathogen in the nonoperated knee joint. This report details an uncommon case of septic knee arthritis after multiple intra-articular steroid injections in a 56-year-old male patient. After an indolent presentation and late diagnosis, the patient underwent surgical debridement with IV antibiotic management. This case illustrates that intra-articular corticosteroid injections for the management of osteoarthritis are not without risk. Literature supporting their use remains limited and clinicians should use proficient clinical judgment for appropriate patient selection for these injections. Vigilance following injections or aspirations of the knee should be maintained to identify the indolent clinical presentation of septic arthritis.

摘要

[细菌名称]是一种致病性较低的革兰氏阳性杆菌,是人工关节感染的罕见但已知病因,尤其与肩部手术相关。然而,[细菌名称]在非手术膝关节中是一种极其罕见的病原体。本报告详细介绍了一名56岁男性患者在多次关节内注射类固醇后发生[细菌名称]性膝关节炎的罕见病例。在病情隐匿且诊断较晚后,患者接受了手术清创及静脉抗生素治疗。该病例表明,关节内注射皮质类固醇治疗骨关节炎并非没有风险。支持其使用的文献仍然有限,临床医生在为这些注射选择合适的患者时应运用熟练的临床判断力。注射或抽取膝关节液后应保持警惕,以识别[细菌名称]性关节炎的隐匿临床表现。

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