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小儿髋关节化脓性关节炎病例报告

Case Report on Pediatric Septic Arthritis of the Hip.

作者信息

Prince Shireen, Tulasi Rao

机构信息

Department of Pharmacy Practice, Malla Reddy Pharmacy College, Dhullapally, Secunderabad, Telangana, India.

Department of Paediatrics, Malla Reddy Institute of Medical Sciences, Secunderabad, Telangana, India.

出版信息

EJIFCC. 2020 Sep 29;31(3):248-253. eCollection 2020 Sep.

Abstract

Septic arthritis is a condition from the presence of microbial agents in a joint space. A 9 year old boy presented with pain in right hip joint which was tender on palpation, associated with fever (38.3°C). Blood tests showed elevated levels of C reactive protein and erythrocyte sedimentation rate. No pathological findings were found in X-ray of the hip and ultrasound of right hip joint showed mild increase in joint space. Pus culture and sensitivity yielded plenty pus cells in pairs of chains and Methicillin sensitive Staphylococcus aureus was isolated. Treatment with antibiotics was started and right hip arthrotomy and debridement was done followed with skin traction. Follow up was done and the boy had regained his full range of motion with no sign of complications.

摘要

化脓性关节炎是一种因关节腔内存在微生物病原体而引发的病症。一名9岁男孩因右髋关节疼痛前来就诊,触诊时疼痛明显,并伴有发热(38.3°C)。血液检查显示C反应蛋白和红细胞沉降率水平升高。髋关节X线检查未发现病理改变,右髋关节超声显示关节间隙轻度增宽。脓液培养及药敏试验发现大量成对或成链状的脓细胞,并分离出对甲氧西林敏感的金黄色葡萄球菌。开始使用抗生素治疗,并进行了右髋关节切开清创术,随后进行皮肤牵引。进行了随访,该男孩已恢复了全部活动范围,且无并发症迹象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b50f/7545123/81d332899e8e/ejifcc-31-248-g001.jpg

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