Pitkin A D, Eykyn S J
Department of Intensive Care, St Thomas' Hospital, London, U.K.
J Infect. 1993 Nov;27(3):297-300. doi: 10.1016/0163-4453(93)92242-o.
Six patients with pre-existing rheumatic joint disease presented with overwhelming septicaemia but without overt signs of joint inflammation. Joint aspirates demonstrated multifocal staphylococcal infective arthritis. Despite intensive care all six died from the infection or its immediate sequelae. The contrast between this clinical entity and classical infective arthritis, presenting with one or more swollen, tender joints, is discussed.
6例患有风湿性关节疾病的患者出现严重败血症,但无明显的关节炎症迹象。关节穿刺液显示多灶性葡萄球菌感染性关节炎。尽管进行了重症监护,6例患者均死于感染或其直接后遗症。本文讨论了这种临床病症与表现为一个或多个关节肿胀、压痛的经典感染性关节炎之间的差异。