肠炎沙门菌致关节脓肿1例

Study on one case of joint abscess caused by salmonella enteritidis

回顾收住入院的1例肠炎沙门菌感染致关节脓肿患者的临床资料,并对诊断过程进行相关分析。部分患者感染肠炎沙门菌的临床表现不典型,因此,当患者出现不明原因发热、关节肿胀疼痛时,临床应及时采集血液、骨髓或局部标本做细菌培养以明确病原菌。体外药敏试验结果提示喹诺酮类抗菌药物敏感,然而患者使用该药可能无效,需及时调整抗菌药物。肠炎沙门菌感染引起化脓性骨关节感染的情况较为少见,容易引起误诊误治,早期确诊和药敏试验是治疗成功的基础。可根据药敏试验选择不同的抗生素治疗,为今后诊疗肠炎沙门菌感染致关节脓肿提供一定的参考。

This paper reviewed the clinical data of one case of joint abscess caused by salmonella enteritidis infection admitted to our hospital,and analyzed the diagnostic process in relation to the case.Some patients had atypical clinical manifestations of Salmonella enterica infection.Therefore,when patients presented with unexplained fever and joint pain and swelling,the blood,bone marrow or local specimens should be collected promptly for bacterial culture to clarify the pathogenic bacteria.The results of drug sensitivity test in vitro suggested that quinolones antibacterial drugs had a certain of sensitivity,however,they may be ineffective for patients,and therefore,antibacterial drugs should be adjusted in time.Salmonella enteritidis infection resulting in septic osteoarthritis infection is rare and prone to misdiagnosis and mistreatment,and therefore,early confirmation of diagnosis and drug sensitivity test is the basis of successful treatment.The selection of different antibiotic courses according to the drug sensitivity test can provide some reference for the future diagnosis and treatment of joint abscess caused by salmonella enteritidis infection.