Bongers V, Blaauw A A, Bijlsma J W, Hoepelman A I
Department of Rheumatology and Clinical Immunology, University Hospital Utrecht, GA Utrecht, Netherlands.
Neth J Med. 1998 May;52(5):193-6. doi: 10.1016/s0300-2977(98)00029-1.
The mother of an eight-month-old child with meningitis presented with petechiae on her trunk and lower extremities, fever, and oligoarthritis. Although pathogens were never revealed by Gram stain nor cultured from the aspirated joint fluid, the diagnosis was primary meningococcal arthritis. This diagnosis was based on the simultaneous occurrence of Neisseria meningitidis group B infection in her son and the clinical presentation.
一名患脑膜炎的8个月大儿童的母亲出现躯干和下肢瘀点、发热及少关节炎。尽管革兰氏染色未发现病原体,抽取的关节液培养也未培养出病原体,但诊断为原发性脑膜炎球菌性关节炎。该诊断基于她儿子感染B群脑膜炎奈瑟菌以及她的临床表现同时出现。