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[由羊布鲁氏菌引起的骶髂关节炎]

[Sacroiliitis caused by Brucella melitensis].

作者信息

Ballmer P E, Frielingsdorf J, Hany A

机构信息

Medizinische Klinik des Kantonsspitals, Winterthur.

出版信息

Dtsch Med Wochenschr. 1989 Feb 17;114(7):258-61. doi: 10.1055/s-2008-1066585.

Abstract

Technetium scintigraphy established sacroiliitis in a 21-year-old man who had complained of hip pain for two weeks. Brucella melitensis was cultured from hip-joint fluid. He was treated with 160 mg trimethoprim and 800 mg sulphamethoxazole, three times daily for six weeks. He also had prophylactically 600 mg rifampicin daily by mouth for the last three weeks. He was symptom-free four weeks after onset of treatment. At follow-up one year later there was no sign of recurrence. Brucella titres and blood sedimentation rate were within normal limits.

摘要

锝闪烁扫描术确诊一名21岁男性患有骶髂关节炎,该患者主诉髋关节疼痛两周。从髋关节液中培养出了羊布鲁氏菌。给予患者每日3次服用160毫克甲氧苄啶和800毫克磺胺甲恶唑,持续六周。在最后三周,他还预防性地每日口服600毫克利福平。治疗开始四周后他症状消失。一年后的随访中没有复发迹象。布鲁氏菌滴度和血沉率均在正常范围内。

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