尿路感染后累及腰椎小关节的焦磷酸钙沉积病
Calcium Pyrophosphate Deposition Disease Involving a Lumbar Facet Joint Following Urinary Tract Infection.
作者信息
Ujihara Tetsuro, Yamamoto Kei, Kitaura Tsuyoshi, Katanami Yuichi, Kutsuna Satoshi, Takeshita Nozomi, Hayakawa Kayoko, Ohmagari Norio
机构信息
Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan.
Department of Gastroenterology, New Tokyo Hospital, Japan.
出版信息
Intern Med. 2019 Jun 15;58(12):1787-1789. doi: 10.2169/internalmedicine.2099-18. Epub 2019 Feb 25.
A 75-year-old woman was admitted with urosepsis due to Escherichia coli infection. After improvement with a ureteral stent and antimicrobial agent, she complained of back pain and showed elevated inflammation marker levels. Arthralgia and arthritis of multiple peripheral joints were noted, and radiography indicated cartilage calcification. Magnetic resonance imaging revealed lumbar facet joint effusion. Her symptoms improved with nonsteroidal anti-inflammatory drug administration. Thus, she was diagnosed with calcium pyrophosphate deposition (CPPD)-related facet joint arthritis (FJA) rather than infectious FJA. CPPD-related FJA is an important differential diagnosis in elderly individuals with a risk of CPPD disease who complain of back pain.
一名75岁女性因大肠杆菌感染导致尿脓毒症入院。在置入输尿管支架并使用抗菌药物后病情有所改善，但她仍主诉背痛，且炎症标志物水平升高。检查发现多个外周关节存在关节痛和关节炎，影像学检查显示软骨钙化。磁共振成像显示腰椎小关节积液。给予非甾体抗炎药治疗后症状改善。因此，她被诊断为与焦磷酸钙沉积（CPPD）相关的小关节关节炎（FJA），而非感染性FJA。对于有患CPPD疾病风险且主诉背痛的老年人，与CPPD相关的FJA是一项重要的鉴别诊断。
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