Suman Saurabh, Kamal Sushil, Vatsa Gaurav
Department of Orthopaedics, Narayan Medical College and Hospital, Sasaram, Bihar, India.
J Orthop Case Rep. 2024 Aug;14(8):85-88. doi: 10.13107/jocr.2024.v14.i08.4656.
Septic arthritis (SA) is the inflammation of the joints secondary to an infectious etiology, most commonly affecting the knee, hip, and shoulder. It is often an emergency condition and requires urgent intervention whether medical or surgical at the earliest. This case report highlights one such instance of timely intervention in a challenging scenario.
In this case report, we encountered a 29-day-old female neonate born at 38 weeks and 4 days to a primigravida mother with a birth weight of 2.8 kg who was diagnosed with the right knee joint SA with neonatal sepsis. The neonate was also found to be suffering with acyanotic congenital heart disease. Early arthrotomy with exploration of joint with antibiotic cover was the chosen line of treatment.
Arthrotomy is a very good and established method to deal with SA. Early intervention is advised in these cases to ensure proper recovery without any complications.
化脓性关节炎（SA）是继发于感染病因的关节炎症，最常累及膝关节、髋关节和肩关节。它通常是一种紧急情况，无论采用内科还是外科治疗，都需要尽早进行紧急干预。本病例报告突出了在具有挑战性的情况下及时干预的一个实例。
在本病例报告中，我们遇到一名29日龄的女新生儿，孕38周4天出生，初产妇母亲，出生体重2.8千克，被诊断为右膝关节SA并伴有新生儿败血症。还发现该新生儿患有非青紫型先天性心脏病。选择的治疗方法是早期关节切开术并在抗生素覆盖下探查关节。
关节切开术是治疗SA的一种非常好且成熟的方法。建议在这些病例中尽早进行干预，以确保顺利康复且无任何并发症。
