Gaut Daria, Muir Kyle, Pessegueiro Antonio M
Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
SAGE Open Med Case Rep. 2019 Feb 4;7:2050313X19828249. doi: 10.1177/2050313X19828249. eCollection 2019.
Reactive arthritis has been described infrequently in association with staphylococcal infections, both those secondary to and coagulase-negative staphylococci. We present a case of a 51-year-old male undergoing chemotherapy for pancreatic cancer who presented with joint pain and fevers and was found to have bacteremia. Transthoracic and transesophageal echocardiograms were negative for endocarditis. Arthrocentesis from one large joint revealed culture-negative inflammatory synovitis. This case illustrates that a possible systemic manifestation of bacteremia, in addition to the more common endocarditis, can also include reactive arthritis.
反应性关节炎与葡萄球菌感染相关的情况鲜有报道，包括继发于凝固酶阴性葡萄球菌的感染。我们报告一例51岁男性胰腺癌患者，该患者在接受化疗期间出现关节疼痛和发热，血培养发现有[具体细菌名称]菌血症。经胸和经食管超声心动图检查未发现心内膜炎。对一个大关节进行关节穿刺，结果显示培养阴性的炎症性滑膜炎。该病例表明，[具体细菌名称]菌血症除了更常见的心内膜炎外，其可能的全身表现还包括反应性关节炎。
