Kraler Benjamin, Bissig Philipp, Nyffeler Richard W
Orthopaedics and Traumatology, Orthopaedic Hospital Sonnenhof, Bern, CHE.
Orthopaedics and Traumatology, Aarberg Hospital, Aarberg, CHE.
Cureus. 2022 Jan 7;14(1):e21006. doi: 10.7759/cureus.21006. eCollection 2022 Jan.
A 36-year-old man was treated with two intraarticular corticoid injections for intense pain and severely decreased range of motion of his left shoulder. After the second injection, he came back with fulminant arthritis. Microbiological examination revealed streptococcus pneumoniae. Open debridement, long-term antibiotics, and total shoulder replacement were necessary to restore acceptable shoulder function. The fulminant course with rapid destruction of the joint illustrates the risks of intraarticular corticoid injections. This case also shows that the diagnosis should be accurately made and risk factors excluded before considering injection as a treatment.
一名36岁男性因左肩剧痛和活动范围严重受限接受了两次关节内皮质类固醇注射治疗。第二次注射后，他因暴发性关节炎前来复诊。微生物学检查发现肺炎链球菌。为恢复可接受的肩部功能，需要进行开放性清创、长期使用抗生素以及全肩关节置换。关节迅速破坏的暴发性病程说明了关节内皮质类固醇注射的风险。该病例还表明，在考虑将注射作为一种治疗方法之前，应准确做出诊断并排除危险因素。
