Mathews M, Shen F H, Lindner A, Sherrard D J
Nephron. 1980;25(2):87-91. doi: 10.1159/000181759.
Six episodes of septic arthritis involving 5 patients and eleven joints were documented in the last 7 years in a population receiving 450 patient-years of dialysis treatment. The same micro-organisms were often cultured simultaneously from the joint, blood and/or arteriovenous fistula, suggesting hematogenous spread. A tendency toward multiarticular involvement was also observed. Early diagnosis is mandatory to avoid severe joint damage. Since such patients have other potential causes of arthritis and periarticular pain not due to infection, it is important to culture the joint fluid promptly whenever the possibility of infection exists.
在过去7年中，在接受了450患者年透析治疗的人群中，记录了6例脓毒性关节炎病例，涉及5名患者和11个关节。通常能同时从关节、血液和/或动静脉瘘中培养出相同的微生物，提示血行播散。还观察到多关节受累的倾向。早期诊断对于避免严重的关节损伤至关重要。由于此类患者还有其他并非由感染引起的关节炎和关节周围疼痛的潜在原因，所以只要存在感染的可能性，及时对关节液进行培养就很重要。
