Menon K P, Gupta A
Department of Pathology, Command Hospital Air Force Bangalore.
Indian J Pathol Microbiol. 1993 Jan;36(1):84-6.
Two young adult males presented with fever, severe pain, redness, swelling over the left sacroiliac joint and inability to walk and squat. A differential diagnosis of tuberculous sacroiliitis was considered. On blood culture isolation of S. Typhi in both of them was suggestive of sacroiliitis of salmonella etiology. They recovered completely following specific antibiotic therapy, aspirin and bed rest. At recovery both showed extremely high Widal titres.
两名年轻成年男性出现发热、剧痛、左侧骶髂关节发红肿胀,且无法行走和下蹲。考虑了结核性骶髂炎的鉴别诊断。血液培养显示两人均分离出伤寒杆菌,提示为沙门氏菌病因的骶髂炎。他们在接受特定抗生素治疗、服用阿司匹林并卧床休息后完全康复。康复时两人的肥达氏反应效价都极高。