论文部分内容阅读
作者报道1例由G-2型捧状杆菌引起的脓毒性关节炎和心内膜炎。患者45岁,女性,全身红色斑疹伴水泡形成,有长期皮肤红斑狼疮、雷诺现象和关节痛病史。白细胞2.9×10~9/L,淋巴细胞15%,血沉每小时为31mm,肌酐122μmol/L,抗核抗体效价>1280,DNA结合力13.4mg/L,C_30.51g/L、C_40.12g/L,Smith抗原阳性,Ro/La阴性,抗心脂抗体阴性。皮肤活检表明有皮下水肿,混合炎症细胞浸润及基底细胞空泡样变。提高甾类化合物剂量可使皮肤症状缓慢改善。2周后出现发烧等
The authors report 1 case of septic arthritis and endocarditis caused by the G-2-type centiugar. The patient, 45 years old, had female red rash with blister formation and had a history of long-term cutaneous lupus erythematosus, Raynaud’s phenomenon and arthralgia. 2.9 × 10 ~ 9 / L white blood cells, 15% lymphocytes, erythrocyte sedimentation rate per hour was 31mm, creatinine 122μmol / L, antinuclear antibody titer> 1280, DNA binding capacity 13.4mg / L, C_30.51g / L, C_40.12g / L, Smith antigen positive, Ro / La negative, anti-lipid antibodies negative. Skin biopsy showed subcutaneous edema, mixed inflammatory cell infiltration and basal cell vacuolar degeneration. Increasing the amount of steroid can slowly improve the skin symptoms. 2 weeks after a fever and so on