Velan G J, Leitner J, Folman Y, Gepstein R
Department of Orthopedics, Rabin Medical Center, Hasharon Hospital, Petach-Tiqua, Israel.
Eur Spine J. 1997;6(4):284-5. doi: 10.1007/BF01322454.
Staphylococcus aureus osteomyelitis and pyogenic arthritis has a different pattern in the elderly than in the young. The axial skeleton is the most frequent site of infection and treatment is usually by intravenous antibiotics. We report a case of Staph. aureus septic arthritis of the elbow with concomitant osteomyelitis of the spine that was thought to be due to Staph. aureus, but culture of debrided material from the lesion grew Brucella in culture. We suggest that in the elderly it is advisable to obtain a tissue culture diagnosis and not to instigate therapy based on positive blood cultures or a concomitant infection.
金黄色葡萄球菌骨髓炎和化脓性关节炎在老年人中的表现与年轻人不同。轴向骨骼是最常见的感染部位，治疗通常采用静脉注射抗生素。我们报告一例肘部金黄色葡萄球菌败血症性关节炎合并脊柱骨髓炎的病例，最初认为病因是金黄色葡萄球菌，但病变清创材料培养结果显示为布鲁氏菌。我们建议，对于老年人，最好进行组织培养诊断，而不是基于血培养阳性或合并感染就开始治疗。
