Call R S, Ward J R, Samuelson C O
West J Med. 1985 Oct;143(4):471-3.
It is generally recognized that patients with rheumatoid arthritis are at greater risk than the general population for the development of bacterial joint infection. It is not usually appreciated, however, that such patients may present with a clinical syndrome that mimics septic arthritis in most respects except that all cultures are consistently negative and antibiotics are not essential for treatment. We report our experience with five cases of "pseudoseptic" arthritis in patients with rheumatoid arthritis and suggest an approach for management.
人们普遍认识到,类风湿性关节炎患者发生细菌性关节感染的风险高于普通人群。然而,人们通常没有认识到,这类患者可能会出现一种临床综合征,在大多数方面类似于化脓性关节炎,只是所有培养结果始终为阴性,且抗生素并非治疗所必需。我们报告了我们对5例类风湿性关节炎患者“假性化脓性”关节炎的治疗经验,并提出了一种管理方法。