免疫功能正常患者感染蒙得维的亚沙门氏菌的感染性关节炎和髋关节骨髓炎

Muhannad Antoun
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摘要

一名60岁男性,因行走时右臀部和右腹股沟疼痛,右大腿屈曲进入腹部困难而入院。患者有甲状腺功能减退病史;高血压;还有糖尿病。在本次就诊前一个月,他主诉胃肠炎症状包括:痉挛如腹痛、恶心、呕吐、腹泻和发烧,不经治疗几天内消退。大便培养蒙得维的亚沙门氏菌C1组阳性,对头孢曲松、氨苄西林、左氧氟沙星和Septra敏感。
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Septic arthritis and osteomyelitis of the hip by salmonella montevideo in immunocompetent patient
A 60 years old man presented to hospital due to right hip and right groin pain on ambulation with difficulty flexing the right thigh into his abdomen. The patient has history of hypothyroidism; hypertension; and diabetes mellitus. One month prior to his current presentation, he complained of gastroenteritis symptoms including; cramp like abdominal pain, nausea, vomiting, diarrhea, and fever, which subsided within a few days without treatment. His stool culture was positive for salmonella Group C1 Serotype Montevideo, sensitive to Ceftriaxone, Ampicillin, Levofloxacin and Septra.
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