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頁籤選單縮合
題名 | Primary Retroperitoneal Abscess Complicated with Septic Arthritis of the Hip=原發性後腹腔膿瘍合併敗血性髖關節炎 |
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作者 | 蘇銓男; 謝達士; 孫光煥; 于大雄; 馮超傑; Su, Chuan-nan; Hsieh, Dar-shih; Sun, Guang-huan; Yu, Dah-shyong; Fong, Chau-jye; |
期刊 | 中華醫學會雜誌 |
出版日期 | 20060100 |
卷期 | 69:1 民95.01 |
頁次 | 頁51-53+CA10 |
分類號 | 416.27 |
語文 | eng |
關鍵詞 | 關節炎; 腰肌膿瘍; 後腹腔空間; 敗血性; Arthritis; Psoas abscess; Retroperitoneal space; Septic; |
英文摘要 | Primary retroperitoneal abscess complicated with septic arthritis of the hip is an unusual disease. The insidious and occult nature of abscess coexistent with arthritis causes diagnostic delays, prolonged sepsis, and considerably higher morbidity and mortality. We herein present a case of gouty arthritis and avascular necrosis of the femoral head in a 41-year-old woman who complained of fever, right flank pain, body weight loss, swelling over her right lower limb, and 2 weeks of pain in the right hip. The computed tomographic scan showed a huge abscess (about 32 Z 10 Z 8 cm) over the right posterior pararenal space, with swelling of the right psoas, iliac, and obturator muscles. During surgery, the abscess was drained and sequestrectomy of the right hip was performed. Cultures of pus from the retroperitoneum and right hip showed Escherichia coli and Staphylococcus aureus. We review the literature and discuss possible causes. |
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