Edwards G S, Russell I J
J Rheumatol. 1980 Nov-Dec;7(6):907-10.
The simultaneous occurrence of septic arthritis and gout is quite uncommon. We describe a patient with chronic gout who developed pneumococcal pneumonia. Twenty-four hours later, his previously involved joints became acutely inflamed and were found to contain both pneumococcal organisms and monosodium urate crystals intracellularly. The mechanisms which may confer upon a gouty joint selective resistance or susceptibility to colonization by a blood borne organism are discussed. Septic arthritis must remain a consideration in patients with chronic gouty arthritis.
脓毒性关节炎与痛风同时发生的情况相当罕见。我们描述了一位患有慢性痛风的患者，他患上了肺炎球菌肺炎。24小时后，他之前受累的关节急性发炎，并且在细胞内发现了肺炎球菌和尿酸钠晶体。本文讨论了痛风关节可能对血源性病原体的定植具有选择性抗性或易感性的机制。对于慢性痛风性关节炎患者，必须考虑脓毒性关节炎的可能性。
