Section of Orthopaedic Surgery, Department of Surgery, University of Calgary, Calgary, Alberta Canada.
McCaig Institute for Bone and Joint Health, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
JBJS Case Connect. 2020 Dec 4;10(4):e20.00362. doi: 10.2106/JBJS.CC.20.00362.
We present a 20-year-old female with Lemierre's syndrome and an associated infectious brachial plexopathy and missed septic shoulder arthritis. She subsequently presented with advanced post-infectious glenohumeral joint arthritis. At the final 12-month follow-up, substantial shoulder pain and dysfunction persisted.
When Lemierre's syndrome has been diagnosed, patients with upper extremity symptoms suggestive of metastatic infection require a thorough assessment to rule out musculoskeletal involvement and site-specific intervention to prevent long-term morbidity.
我们报告了一例 20 岁女性患有莱姆氏综合征，伴有感染性臂丛神经病和漏诊的化脓性肩关节炎。随后她出现了晚期感染性盂肱关节关节炎。在最终的 12 个月随访时，仍存在严重的肩部疼痛和功能障碍。
当诊断出莱姆氏综合征时，上肢有疑似转移性感染症状的患者需要进行彻底评估，以排除肌肉骨骼受累，并进行针对性治疗以预防长期发病。
