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內科學誌 Scopus

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篇名 尿毒症病人合併大腸桿菌感染細菌性肩關節炎:一病例討論
卷期 16:5
並列篇名 Escherichia Coli Septic Arthritis of a Shoulder in a Uremic Patient: A Case Report
作者 翁銘偉蔡文正陳錫斌林自強
頁次 241-245
關鍵字 Escherichia coliSeptic arthritisUremiaScopusTSCI
出刊日期 200510

中文摘要

傳染病常常好發於慢性腎臟衰竭病患,但是感染性關節炎卻是極少見的併發症。感染性關節炎通常是血行性傳染引起且好發於年紀大的病患,尤其是有合併內科疾病者,例如糖尿病、風濕性關節炎。大腸桿菌感染細菌性關節炎是極少見的疾病,但常見於有系統性疾病的病人。我們在此報告一尿毒症病人有大腸桿菌感染引起泌尿道敗血症且續發合併有單一細菌性關節炎,並且討論盛行率、好發因素及相關治療方法。

英文摘要

Infections are common causes of morbidity in the chronic renal failure population, but infectious arthritis is rarely encountered. Septic arthritis is usually of hematogenous origin and is increasingly being reported in elderly patients, who often have underlying medical conditions such as diabetes or rheumatoid arthritis. Escherichia coli septic arthritis is rare and usually occurs in patients with underlying systemic disorders. We report a case of Escherichia coil monoarthritis and a concomitant urinary tract infection with Escherichia coil sepsis in a uremic patient and consider the prevalence, possible predisposing factors and treatment for the infection.

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