Bhatnagar S K, Segal S, Siddiqui A
University of Connecticut, School of Medicine, Department of Internal Medicine, Farmington 06030, USA.
Conn Med. 1996 Nov;60(11):643-7.
We describe an apparently healthy woman who presented with monoarthritis of the right knee and a history of respiratory infection. The synovial fluid cultures grew beta lactamase-negative H. influenzae. Chest roentgenogram showed patchy densities throughout the right lung. Investigations for a predisposing factor for this H. influenzae infection revealed underlying multiple myeloma. As H. influenzae pyoarthrosis is extremely rare in adults, we suggest that an underlying systemic cause be sought in all such patients.
我们描述了一位表面健康的女性，她出现右膝单关节炎且有呼吸道感染史。滑液培养长出β-内酰胺酶阴性的流感嗜血杆菌。胸部X线片显示右肺布满斑片状致密影。对该流感嗜血杆菌感染的易感因素进行调查发现存在潜在的多发性骨髓瘤。由于流感嗜血杆菌脓性关节炎在成人中极为罕见，我们建议对所有此类患者寻找潜在的全身病因。
