相关实验视频
Updated: Jul 25, 2025
04:41
Knee Arthrocentesis in Adults
Published on: February 25, 2022
7.7K
由B组链球菌引起的关节败血性关节炎的关节镜治疗:一个案例报告
Yu Soejima1,2, Toshifumi Fujiwara2, Masanori Fujii2
1Department of Orthopedic Surgery, Hiroshima Red Cross Hospital and Atomic-Bomb Survivors Hospital, Hiroshima, Japan.
The American journal of case reports
|June 26, 2023
概括
乙组链球菌 (GBS) 在巴氏涂片检查后可能导致败血性关节炎. 及时诊断和关节镜手术对于患有GBS关节感染的非孕妇的康复至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 类风湿病学 类风湿病学
- 妇科 妇科医生 妇科
背景情况:
- 在非怀孕的妇女中,B型 estreptococcus (GBS) 败血性关节炎的发病率正在增加.
- GBS通常殖民于女性生殖道.
- 帕帕样 (Pap) 涂抹测试可能会诱导短暂的细菌病,可能导致GBS感染.
研究的目的:
- 报告一例罕见的GBS性关节炎,发生在一个女性的脚上,后者接受了巴氏涂片检查.
- 为了突出帕普查和GBS关节感染之间的潜在联系.
- 强调及时诊断和治疗的重要性.
主要方法:
- 一个60岁的妇女患有卵巢癌的病例报告.
- 患者接受了常规的巴氏涂片检查.
- 通过关节液和血液培养物证实了GBS性关节炎的诊断.
- 治疗包括出现的关节镜灌和脱bridement,随后是静脉注射抗生素.
主要成果:
- 患者发烧和严重的左脚疼痛和胀四周后巴氏涂抹.
- 在脚液和血液培养物中,GBS被确定为致病因子.
- 经过关节镜手术和抗生素治疗,患者的症状在四个月后消失了,没有剩余的脚功能障碍.
结论:
- 尽管巴氏涂片检测对于宫癌查至关重要,但可以暂时诱导细菌血症.
- 医生应考虑在最近的巴氏涂片检查后出现发烧或关节胀的患者中治疗GBS败血性关节炎.
- 及时诊断和手术干预对于治疗GBS败血性关节炎至关重要.
相关概念视频
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
19
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
19
01:10Ankle Joint
1.6K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
1.6K
01:21Rheumatic Heart Disease III: Medical Management
22
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
22
01:18Endocarditis III: Medical Management
8
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
8