期刊
CLINICAL RHEUMATOLOGY
卷 20, 期 1, 页码 53-56出版社
SPRINGER-VERLAG
DOI: 10.1007/s100670170104
关键词
avascular bone necrosis; osteomyelitis; Salmonella enteritidis; Salmonella infection; septic arthritis; systemic lupus erythematosus
类别
A bilateral knee septic arthritis due to Salmonella enteritidis developed in a female patient affected by long-standing systemic lupus erythematosus (SLE) with cardiac and renal involvement treated with immunosuppressants and corticosteroids. Because avascular necrosis and multiple osteomyelitic areas were detected at the same time in both right and left femoral condyles, an early localisation of Salmonella into the bone was assumed. Involvement of the joints was regarded as consequence of local dissemination of infection. Ampicilline (0.2 g/kg body weight daily for 2 months) plus ciprofloxacin (1.5 g daily for 12 months) and withdrawal of immunosuppressants appeared to be effective in preventing complications of infection.
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