K M Bhargav, Gulla Virali, K Ragamayi, Koneru Susmith, Rangineni Jayaprada
Medicine, Sri Venkateswara Institute of Medical Sciences, Tirupati, IND.
Orthopaedics, Balaji Institute of Surgery, Research and Rehabilitation for the Disabled (BIRRD), TIrupati, IND.
Cureus. 2023 Aug 21;15(8):e43853. doi: 10.7759/cureus.43853. eCollection 2023 Aug.
Bilateral septic arthritis (SA) is a rare presentation that is often associated with sepsis syndrome in patients with underlying risk factors. We present the case of a 25-year-old female with laryngeal oedema due to para phenylene diamine-containing hair-dye poisoning. She was receiving treatment with intravenous (IV) methylprednisolone and IV antibiotics along with airway management. The hospital course was complicated by new acute onset of bilateral knee pain and swelling while being on antibiotics. Arthrocentesis revealed purulent synovial fluid, which on culture grew . The patient underwent arthroscopic washouts with IV and intra-articular antibiotic treatment. IV corticosteroid treatment could be the possible risk factor for systemic bacteraemia in this patient.
双侧化脓性关节炎（SA）是一种罕见的表现，在有潜在危险因素的患者中常与脓毒症综合征相关。我们报告一例25岁女性因含对苯二胺染发剂中毒导致喉水肿的病例。她正在接受静脉注射甲基泼尼松龙和静脉抗生素治疗以及气道管理。在使用抗生素期间，该患者的病程因双侧膝关节突然出现疼痛和肿胀而变得复杂。关节穿刺抽出脓性滑液，培养显示有……。患者接受了关节镜冲洗及静脉和关节内抗生素治疗。静脉注射皮质类固醇治疗可能是该患者发生全身性菌血症的危险因素。
