Seradge H, Anderson M G
Clin Orthop Relat Res. 1980 Mar-Apr(147):207-9.
Fatal clostridial myonecrosis occurred in a 65-year-old man after intra-articular injection of steroids to the shoulder joint. Clinical evidence of the possibility of clostridial infection is sufficient reason to initiate treatment. The opportunity to save a life may be lost by waiting for paraclinical data for definitive diagnosis to initiate treatment. "Surgical skin prep" for every intra-articular injection is a preventive measure. Increasing joint pain after intraarticular injection should be considered a serious complaint and requires careful clinical follow-up observations.
一名65岁男性在肩关节内注射类固醇后发生了致命的梭菌性肌坏死。梭菌感染可能性的临床证据是启动治疗的充分理由。等待辅助临床数据进行明确诊断以启动治疗可能会错失挽救生命的机会。每次关节内注射都进行“外科皮肤准备”是一种预防措施。关节内注射后关节疼痛加剧应被视为严重主诉，需要进行仔细的临床随访观察。
