查詢結果分析
相關文獻
- Salmonella Enteritidis Septic Arthritis in a Steroid-treated Patient with IgM Nephropathy and Thin Basement Membrane Disease
- 沙門氏菌
- Characterization of Group D1 Non-typhoid Salmonella Isolates by Serotyping and Pulsed Field Gel Electrophoresis
- Non-typhoid Salmonella Subdural Empyema in Children: Report of Two Cases
- Salmonella-Induced Cholecystitis in Children--Two Case Reports and Review of Literature
- 動物性飼料原料之沙門氏菌污染及分離菌對肉雞雛的感染試驗
- Typhoid Fever in Children: A Fourteen-Year Experience
- Toxic Megacolon in Salmonella Colitis: Report of Two Cases
- Two-staged Revision Total Hip Arthroplasty Due to Salmonella Infection: Case Report
- Salmonella Endocarditis in a Patient with Systemic Lupus Erythematosus
頁籤選單縮合
題 名 | Salmonella Enteritidis Septic Arthritis in a Steroid-treated Patient with IgM Nephropathy and Thin Basement Membrane Disease=經類固醇治療的IgM腎病變和薄基底膜疾病患者之沙門氏腸炎菌敗血性關節炎:一病例報告 |
---|---|
作 者 | 蘇裕謀; 黃建鐘; 陳芬芬; 阮明昆; 宋俊明; 王明誠; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷 期 | 14:2 2000.06[民89.06] |
頁 次 | 頁75-78+90 |
分類號 | 415.819 |
關鍵詞 | 沙門氏菌; 敗血性關節炎; IgM腎病變; 薄基底膜疾病; 糖質類固醇; Salmonella enteritidis; Septic arthritis; IgM nephropathy; Thin basement membrane disease; Glucocorticoid; |
語 文 | 英文(English) |
中文摘要 | 沙門氏菌血症引發的敗血性關節炎是一種少見的併發症,通常和免疫機能受到抑制有關。本文報告一位二十八歲男性的受刑人,因腎病症候群而接受糖質類固醇(prednisolone)治療,引發少見之右髖關節的沙門氏腸炎菌敗血性關節炎。他於1998年11月診斷同時有IgM腎病變和薄基底膜疾病,從1999年6月起每天規則服用prednisolone(1毫克/公斤)而達到緩解。在1999年8月因發燒及右腹股溝處疼痛而送至本院急診,其血液及右髖關節液培養長出沙門氏腸炎菌D群。TC99m-MDP及Ga67的骨髓炎掃描顯示右髖關節有敗血性關節炎,prednisolone劑量減為每天0.5毫克/公斤;經抗生素治療及外科清瘡後,其關節的疼痛完全解除。Ciprofloxacin使用靜脈注射後再口服給予共六個以。文中討論IgM腎病變和薄基底膜疾病併發的少見情形,以及沙門氏菌敗血性關節炎的致病機轉、診斷和治療,以供參考。 |
英文摘要 | Septic arthritis after Salmonella sepsis is a rare event and often associated with immunocompromised condition. We report a case of a 28-year-old male prisoner who developed Salmonella enteritidis septic arthritis after glucocorticoid therapy for his nephritic syndrome. He was diagnosed to have concomitant IgM nephropathy and thin basement membrane disease in November 1998. the remission of nephritic syndrome was achieved 2 months after regular prednisolone therapy (1 mg/kg/day) since June 1999. But he suffered from fever and pain over right inguinal area in August 1999. Both blood and synovial fluid cultures yielded Salmonella enteritidis group D. Osteomyelitis scan using TC99m-MDP及Ga67 showed septic arthritis of right hip joint. The dosage of prednisolone was tapered to 0.5 mg/kg every other day. Surgical debridement was performed several days later after diagnosis, and his joint pain was completely relieved. Intravenous ciprofloxacin followed by oral ciprofloxacin was given for a total of six months. We review the rare concurrence of IgM nephropathy and thin basement membrane disease as well as the pathogenesis, diagnosis, and adequate treatment of Salmonella septic arthritis, especially with new quinolone (e.g. ciprofloxacin) antibiotics. |
本系統中英文摘要資訊取自各篇刊載內容。