Butt T S, Khan A, Ahmad A, Khan M A, Parke A, Hill D R
Department of Medicine, University of Connecticut School of Medicine, Farmington, USA.
J Rheumatol. 1997 Aug;24(8):1649-52.
A 74-year-old man with chronic lymphocytic leukemia, immune purpura, and gout presented with a painful, swollen ankle after a cat bite to his leg. On aspiration of the ankle, gram negative pleomorphic rods and monosodium urate crystals were seen and Pasteurella multocida was cultured. He was treated with ampicillin/sulbactam, joint aspiration, and intraarticular steroids, with resolution of infection and return of joint function. The syndromes of Pasteurella arthritis and crystal arthropathy with septic arthritis are reviewed.
一名74岁男性,患有慢性淋巴细胞白血病、免疫性紫癜和痛风,腿部被猫咬伤后出现脚踝疼痛、肿胀。对脚踝进行穿刺抽吸时,发现革兰氏阴性多形性杆菌和尿酸钠晶体,并培养出多杀巴斯德菌。他接受了氨苄西林/舒巴坦治疗、关节穿刺抽吸及关节腔内注射类固醇,感染得到控制,关节功能恢复。本文对巴斯德菌关节炎以及晶体性关节病合并化脓性关节炎的综合征进行了综述。