Good A E, Hague J M, Kauffman C A
Arch Intern Med. 1978 May;138(5):805-6.
Two patients were initially seen with culture-positive streptococcal arthritis as an early manifestation of bacterial endocarditis. The organisms were an alpha-hemolytic, nongroup D streptococcus and a beta-hemolytic, group b streptococcus. One patient had a persistent septic monarthritis; the other had migratory arthritis in which a positive synovial culture was followed by a negative culture from the same joint before antimicrobial treatment was started. This experience suggests that some sterile synovial aspirates encountered in patients with bacterial endocarditis may be explained by delay of arthrocentesis.
两名患者最初被诊断为培养阳性的链球菌性关节炎，这是细菌性心内膜炎的早期表现。病原体分别是一株α溶血性、非D群链球菌和一株β溶血性B群链球菌。一名患者患有持续性脓毒性单关节炎；另一名患者患有游走性关节炎，在开始抗菌治疗前，其滑膜培养结果为阳性，但同一关节的后续培养结果为阴性。这一经验表明，细菌性心内膜炎患者中出现的一些无菌滑膜抽吸物可能是由于关节穿刺延迟所致。
