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同时的沙门氏菌败血性关节炎和原始三膜内心炎:一个病例报告
Mahnaz Arian1, Farideh Najm Sarvari2, Moein Mohebbi1
1Department of Infectious Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Caspian journal of internal medicine
|July 16, 2024
概括
沙门氏菌感染性关节炎和内心炎是罕见但严重的并发症. 这一案例凸显了对不响应感染的进一步调查的必要性,特别是在布鲁塞洛斯流行地区.
科学领域:
- 传染性疾病 传染性疾病
- 类风湿病学 类风湿病学
- 心脏病学 心脏病学
背景情况:
- 沙门氏菌感染可能导致罕见但严重的并发症,如骨关节干扰 (2%) 和败血性关节炎 (0.2%).
- 内心炎是另一个罕见的并发症 (少于0.8%),在免疫受损的个体中更为常见.
- 这些严重的表现需要迅速和准确的诊断.
研究的目的:
- 报告一个先前健康的年轻成年人同时患有沙门氏菌性关节炎和内心炎的病例.
- 强调在对发烧和的差异诊断中考虑沙门氏菌的重要性,特别是在布鲁塞洛症治疗后.
- 突出需要在没有反应的沙门氏菌感染病例中进行全面调查.
主要方法:
- 一名25岁的男性出现四肢疼痛,并通过关节活检诊断出沙门氏菌性关节炎.
- 透过食道心声检查显示三膜内心肠炎由沙门氏菌引起,原因是持续发烧和阳性血培养.
- 该患者接受了关节切除和四周抗菌药物治疗.
主要成果:
- 这名患者最初因牛病接受治疗,后来患上严重的沙门氏菌性关节炎和内心炎.
- 尽管最初没有免疫抑制的迹象,但感染是侵略性的,对初始治疗没有反应.
- 成功的治疗包括手术和长时间的抗菌药物治疗,在20个月后没有复发.
结论:
- 在阳性沙门氏菌血培养和不响应感染的患者中,彻底寻找额外的焦点至关重要.
- 布鲁塞洛斯流行地区的医生应考虑在发烧和的患者的差异诊断中考虑沙门氏菌.
- 沙门氏菌败血性关节炎的延迟诊断可能导致不可逆转的关节损伤和慢性不适.
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