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小关节化脓性关节炎:病例回顾

Facet joint septic arthritis: A review of cases.

作者信息

Sin Kin Man, Wong Yung Kong, Fung Brian Wai Him, Li Angela On Chee, Chong Wing Ho, Kwok Kai Yan

机构信息

Department of Radiology, Tuen Mun Hospital, Tuen Mun, Hong Kong.

出版信息

J Clin Imaging Sci. 2024 Sep 12;14:34. doi: 10.25259/JCIS_64_2024. eCollection 2024.

DOI:10.25259/JCIS_64_2024
PMID:39371544
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11450493/
Abstract

Facet joint septic arthritis is a rare; yet, severe spinal infection often misdiagnosed due to its non-specific clinical presentation and radiological mimickers. This case series illustrates various clinical presentations, imaging features, and outcomes of patients with facet joint septic arthritis. We demonstrate different disease stages to aid clinicians and radiologists in recognizing this condition. Key diagnostic pitfalls are also discussed to enhance diagnostic accuracy in clinical practice.

摘要

小关节化脓性关节炎较为罕见;然而,由于其非特异性临床表现及影像学上的相似表现,这种严重的脊柱感染常被误诊。本病例系列阐述了小关节化脓性关节炎患者的各种临床表现、影像学特征及治疗结果。我们展示了不同的疾病阶段,以帮助临床医生和放射科医生识别这种疾病。还讨论了关键的诊断误区,以提高临床实践中的诊断准确性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bc7/11450493/fbe7e4e7ea43/JCIS-14-34-g011.jpg
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本文引用的文献

1
Septic Arthritis of the Spinal Facet Joint: Review of 117 Cases.脊柱小关节化脓性关节炎:117例病例回顾
Open Forum Infect Dis. 2024 Feb 14;11(3):ofae091. doi: 10.1093/ofid/ofae091. eCollection 2024 Mar.
2
Septic arthritis of the lumbar facet joint. Case and literature review.腰椎小关节化脓性关节炎。病例报告及文献复习。
J Clin Neurosci. 2020 Jan;71:299-303. doi: 10.1016/j.jocn.2019.11.007. Epub 2019 Dec 13.
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Spontaneous pyogenic facet joint infection.自发性化脓性小关节感染
Semin Arthritis Rheum. 2006 Apr;35(5):272-83. doi: 10.1016/j.semarthrit.2005.09.003.
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Septic facet joint arthritis after a corticosteroid facet injection.皮质类固醇关节突注射后发生的化脓性关节突关节炎。
Pain Med. 2006 Jan-Feb;7(1):52-6. doi: 10.1111/j.1526-4637.2006.00089.x.
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Septic arthritis of bilateral lumbar facet joints: report of a case with MRI findings in the early stage.双侧腰椎小关节化脓性关节炎:1例早期MRI表现报告
Spine (Phila Pa 1976). 2003 May 15;28(10):E198-202. doi: 10.1097/01.BRS.0000062006.92938.41.
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Hematogenous pyogenic facet joint infection.血源性化脓性小关节感染
Spine (Phila Pa 1976). 2001 Jul 15;26(14):1570-6. doi: 10.1097/00007632-200107150-00014.
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Septic arthritis of the spine facet joint: early positive diagnosis on magnetic resonance imaging. Review of two cases.
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Septic arthritis of a lumbar facet joint caused by Staphylococcus aureus.由金黄色葡萄球菌引起的腰椎小关节化脓性关节炎。
Spine (Phila Pa 1976). 2000 Jul 1;25(13):1736-8. doi: 10.1097/00007632-200007010-00022.