感染症による播種性敗血症性関節炎

Disseminated septic arthritis caused by infection.

• Khudaim Mohammed Mobeen
• Janine Carter
• Zaheer Ahmed
• Jane Minton

抄録

比較的健康状態の良い73歳の定年退職した農夫・猟師を対象に、人獣共通感染症に起因する血流感染と播種性敗血症性関節炎を発症した稀な症例を報告した。感染源の制御は、複数の関節の排泄と脊髄の減圧によって達成された。これに続いて、感染を完全に除去するために6週間の抗生物質の静脈内投与が必要とされた。長期間のリハビリテーションの後、患者は順調に回復した。この症例は、人に生命を脅かす敗血症を引き起こす可能性があることを示しており、馬、牛、未殺菌牛乳と定期的に接触している人には高い疑いの指標を必要とします。

We describe a rare case of bloodstream infection and disseminated septic arthritis in a relatively fit and well 73-year-old retired farmer and gamekeeper, due to the zoonotic organism The presence of the organism in multiple joints led to slow clinical response to treatment and was complicated by relapse of infection and lengthy disability. Source control was achieved with multiple joint washouts and spinal cord decompression. Following this, a 6-week course of intravenous antibiotics was required for complete clearance of infection. After a long period of rehabilitation, the patient made a good recovery. This case demonstrates that can cause life threatening and difficult to treat sepsis in humans and requires a high index of suspicion in people who have regular contact with equine species, cattle and unpasteurised milk.

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