Kheng Mathilde, Alexis Jean Francky, Walter Gaëlle, Mosnier Émilie, Malmontet Thomas, Pierre Demar Magalie, Tauch Vilyn, Vesin Guillaume, Abboud Philippe, Roques François, Djossou Félix, Epelboin Loïc
Unité des maladies infectieuses et tropicales, Centre hospitalier Andrée Rosemon, Cayenne, Guyane, France.
Service de cardiologie, Centre hospitalier Andrée Rosemon, Cayenne, Guyane, France.
Med Trop Sante Int. 2022 Jul 27;2(3). doi: 10.48327/mtsi.v2i3.2022.256. eCollection 2022 Sep 30.
We report here an atypical case of acute sacroiliitis caused by revealing tricuspid endocarditis in a 53-year-old woman without medical history. She was admitted to Cayenne hospital because of intense right hip and thigh pain, associated with fever. A right sacroiliitis was visible on the computed tomography (CT) scan, confirmed on MRI. Transesophageal echocardiography revealed a large mobile tricuspid vegetation. Blood cultures were positive for . CT scan showed pulmonary alveolar opacities, consistent with septic emboli. Clinical improvement was obtained under ceftriaxone followed by ciprofloxacin for 6 weeks of treatment. We present a review of bone and joint infections caused by . So far, not a single case has been reported in Latin America.
我们在此报告一例非典型急性骶髂关节炎病例,该病例由一名53岁无病史女性的三尖瓣心内膜炎引发。她因右髋部和大腿剧痛并伴有发热入住卡宴医院。计算机断层扫描(CT)显示右侧骶髂关节炎,磁共振成像(MRI)予以证实。经食管超声心动图显示三尖瓣有一个大的活动赘生物。血培养结果为[具体病菌名称未给出]阳性。CT扫描显示肺泡混浊,符合脓毒性栓子表现。在头孢曲松治疗后病情改善,随后用环丙沙星治疗6周。我们对由[具体病菌名称未给出]引起的骨与关节感染进行了综述。迄今为止,拉丁美洲尚未报告过此类病例。