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非分型所致多关节化脓性关节炎伴新发急性痛风性关节炎

Polyarticular Septic Arthritis Due to Non-Typeable With Concomitant New-Onset Acute Gouty Arthritis.

作者信息

Sanders Brian, Abdulfatah Mohammed, Aljuaid Mossab, Tawhari Ibrahim

机构信息

1 University of Utah Health, Salt Lake City, UT, USA.

出版信息

J Investig Med High Impact Case Rep. 2019 Jan-Dec;7:2324709619864990. doi: 10.1177/2324709619864990.

Abstract

is serologically classified into two main categories based on the presence or absence of the polysaccharide capsule. Strains that possess polysaccharide capsules are identified as typeable , whereas strains that do not have capsules are identified as non-typeable . Only on very rare occasions, affects adult joints, and almost 95% of cases have been identified as type b serotypes. Coexistence of gouty and septic arthritis is rare but has been reported. We herein report a case of polyarticular septic arthritis caused by non-typeable in an adult with concomitant new-onset gouty arthritis. The case was successfully treated with surgical debridement and a 4-week course of ceftriaxone.

摘要

根据多糖荚膜的有无,在血清学上分为两大类。具有多糖荚膜的菌株被鉴定为可分型,而没有荚膜的菌株被鉴定为不可分型。仅在极少数情况下,[该病菌]会影响成人关节,并且几乎95%的病例已被鉴定为b型血清型。痛风性关节炎和化脓性关节炎并存的情况很少见,但已有报道。我们在此报告一例成人非分型[该病菌]引起的多关节化脓性关节炎病例,同时伴有新发痛风性关节炎。该病例通过手术清创和为期4周的头孢曲松治疗成功治愈。

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本文引用的文献

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Hemophilus influenzae septic arthritis in adults. A report of four cases and a review of the literature.
Medicine (Baltimore). 1986 May;65(3):191-201. doi: 10.1097/00005792-198605000-00007.

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