Ukkonen H J, Vuori K P, Lehtonen O P, Kotilainen P M
Department of Medicine, Turku University Central Hospital, Finland.
Scand J Rheumatol. 1995;24(6):392-4. doi: 10.3109/03009749509095188.
A patient with rheumatoid arthritis (RA) developed an infection caused by Listeria monocytogenes in her left knee and both shoulder joints. The clinical presentation of the disease was rather indolent with relatively moderate joint symptoms. Moreover, the synovial fluid sample was only slightly turbid with a white blood cell count of 23.5 x 10(9)/1. As compared to the earlier reported cases of L. monocytogenes septic arthritis, our patient is unique because she had infection in several joints. The polyarticular joint involvement combined with the clinical symptoms resembling the activation of RA posed us diagnostic difficulties.
一名类风湿关节炎（RA）患者左膝和双肩关节发生了由产单核细胞李斯特菌引起的感染。该疾病的临床表现较为隐匿，关节症状相对较轻。此外，滑液样本只是稍有浑浊，白细胞计数为23.5×10⁹/L。与先前报道的产单核细胞李斯特菌败血症性关节炎病例相比，我们的患者很独特，因为她有多个关节感染。多关节受累以及类似类风湿关节炎活动的临床症状给我们带来了诊断困难。
