Bansal S, Magnussen C R, Napodano R J
Ann Rheum Dis. 1979 Dec;38(6):561-2. doi: 10.1136/ard.38.6.561.
A case is reported of polytenosynovitis in a 31-year-old male during the course of a severe bacteraemic illness caused by Haemophilus influenzae type b. The clinical presentation was similar to tenosynovitis caused by bacterial or viral agents. As the management of the H. influenzae tenosynovitis would differ from that due to other causes, the addition of H. influenzae type b to a differential of tenosynovitis should be considered. Recognition and prompt treatment by appropriate antibiotics may be important to avoid suppurative complications affecting the tendons. As the pathophysiology of the tenosynovitis is not clear, careful bacteriological and immunological assessment must be obtained.
报告了1例31岁男性在由b型流感嗜血杆菌引起的严重菌血症病程中发生的多腱鞘炎病例。临床表现与细菌或病毒病原体引起的腱鞘炎相似。由于b型流感嗜血杆菌腱鞘炎的治疗方法与其他原因引起的不同，因此在腱鞘炎的鉴别诊断中应考虑增加b型流感嗜血杆菌。认识到这一点并及时使用适当的抗生素进行治疗对于避免影响肌腱的化脓性并发症可能很重要。由于腱鞘炎的病理生理学尚不清楚，必须进行仔细的细菌学和免疫学评估。
