Morley P K, Hull R G, Hall M A
Ann Rheum Dis. 1987 Jun;46(6):482-4. doi: 10.1136/ard.46.6.482.
Septic arthritis is associated with a definite morbidity which may be related to a delay in diagnosis and hence treatment. The cases of three patients with rheumatoid arthritis and chronic chest disease where the joint sepsis was not the predominant feature are presented. The responsible organism was Streptococcus pneumoniae which had spread after recent chest infections. Minimal joint symptoms or general malaise in association with an unexplained rise in erythrocyte sedimentation rate in these circumstances warrant a search for joint sepsis.
化脓性关节炎与一定的发病率相关，这可能与诊断延误进而治疗延误有关。本文介绍了3例类风湿关节炎和慢性胸部疾病患者的病例，这些患者中关节感染并非主要特征。致病微生物是肺炎链球菌，它在近期胸部感染后扩散。在这些情况下，伴有红细胞沉降率不明原因升高的轻微关节症状或全身不适，有必要排查关节感染。
