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在诊断和治疗双边伪感染性关节炎时展示抗生素管理:一个案例报告
Rae Tarapore1, Sierra Lindsey2, Paige Strickland2
1Department of Orthopaedic Surgery, MedStar Union Memorial Hospital 201 E. University Pkwy, Baltimore, MD, 21218, USA. raetarapore@gmail.com.
Journal of medical case reports
|May 9, 2024
概括
粘性补充剂后的伪传染性关节炎可以在没有抗生素的情况下有效管理. 本案例报告强调了使用临床监测,冰疗和抗炎药物的成功治疗.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 粘性补充剂是一种常见的骨关节炎治疗方法.
- 伪传染性关节炎是一种罕见但已知的并发症.
- 以前的报道经常涉及对这种并发症的抗生素使用.
研究的目的:
- 在粘性补充剂后报告双边膝盖伪毒性关节炎病例.
- 为了证明没有抗生素的成功管理.
- 强调抗生素管理在管理这种并发症.
主要方法:
- 一个61岁的女性呈现了双边膝盖伪感染性关节炎后粘性补充.
- 诊断工作包括高白细胞计数 (WBC),C反应蛋白 (CRP) 和红细胞沉积率 (ESR).
- 关节吸入显示高WBC计数与负染色和文化.
主要成果:
- 患者经历了双边膝盖胀,不适和疼痛.
- 治疗包括临床监测,冰疗和非类固醇抗炎药物 (NSAIDs).
- 在没有抗生素干预的情况下,成功地解决了症状.
结论:
- 以粘性补充剂为次要的伪传染性关节炎可以保守地管理.
- 抗生素管理是至关重要的,而抗生素并不总是必要的.
- 非抗生素干预可以有效地治疗这种罕见的并发症.
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