Kidd B L, Hart H H, Grigor R R
Ann Rheum Dis. 1985 Nov;44(11):790-2. doi: 10.1136/ard.44.11.790.
Four patients with Neisseria meningitidis infection complicated by arthritis are described. Three patients had an acute polyarthritis which responded quickly to antimicrobial therapy. A fourth patient developed a prolonged arthritis which occurred after the initial infection had been successfully treated. Tenosynovitis occurred as a complication in one case. Attention is drawn to possible confusion with gonococcal infection, and postulated pathological mechanisms are discussed.
本文描述了4例感染脑膜炎奈瑟菌并并发关节炎的患者。3例患者患有急性多关节炎,对抗菌治疗反应迅速。第4例患者在初始感染成功治疗后出现了持续性关节炎。1例患者发生腱鞘炎作为并发症。文中提醒注意与淋菌性感染可能存在的混淆,并讨论了推测的病理机制。