Hiransuthikul Akarin, Hiransuthikul Narin
Southeast Asian J Trop Med Public Health. 2016 Nov;47(6):1177-82.
Salmonella is an unusual cause of septic bursitis of the ankle. A 48-yearold male fish-merchant with a history of HIV infection with a CD4 cell count of 79 cells/ml presented with pain of the left ankle for 2 weeks and fever for 1 day. The bursal fluid was aspirated and culture of the fluid revealed Salmonella group D. He was treated initially with intravenous ceftriaxone 2g once daily for 5 days, followed by oral ciprofloxacin 500mg twice daily for 4 weeks to give a treatment course of 5 weeks. Follow-up visit revealed complete recovery without any residual defects. Salmonella should be considered in the differential of the etiology of immunosuppressed patient with septic bursitis.
沙门氏菌是踝关节脓性滑囊炎的罕见病因。一名48岁的男性鱼商，有HIV感染史，CD4细胞计数为79个/毫升，出现左脚踝疼痛2周，发热1天。抽取滑囊液，液体培养显示为D组沙门氏菌。他最初接受静脉注射头孢曲松2克，每日1次，共5天，随后口服环丙沙星500毫克，每日2次，共4周，疗程为5周。随访显示完全康复，无任何残留缺陷。对于免疫抑制患者的脓性滑囊炎病因鉴别，应考虑沙门氏菌。
