[Purulent Salmonella arthritis of the ankle joint].
In the case study the authors focus on Salmonella enteritidis which caused purulent osteoarthritis of the ankle and sepsis. Salmonella osteoarthritis is one of the nidal forms of the salmonella infection. The authors briefly present etiology, pathogenesis, diagnosis and principles of the treatment of infectious osteoarthritis. They analyze a case of a 56 years old immunocompromised patient who was treated at the authors' department for a late diagnosis with an already developed septicemia. They describe the course of the disease, complications and the result of the treatment and discuss the pitfalls of the diagnosis and treatment. Only a timely diagnosis followed by a sufficiently vigorous surgical intervention with drainage of the joint and combined with a timely, targeted and long-term antibiotic therapy leads to the management of this severe nosologic unit.
Klinika ortopedie a traumatologie pohybového ústrojí FN, Plzen. ortkancelar@fnplzen.cz
J
J
Zán
T
T
Malotín
M
M
Linhart
D001170:Arthritis, Infectious / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D012480:Salmonella Infections / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D012477:Salmonella enteritidis; D018746:Systemic Inflammatory Response Syndrome / Q000150:complications