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Bone and joint infection due to Streptococcus pneumoniae in two immunocompetent adults.

机译:在两名具有免疫能力的成年人中,由于肺炎链球菌引起的骨骼和关节感染。

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摘要

Bone and joint infections due to Streptococcus pneumoniae are uncommon in adults in the absence of risk factors (e.g. alcohol abuse, immunodepression, or preexisting joint disease). We report two cases in previously healthy adults. The clinical picture was septic arthritis of the knee in one patient and discitis with an extensive epidural abscess in the other. The characteristics of S. pneumoniae bone and joint infections are reviewed, with emphasis on risk factors. The therapeutic strategy is discussed in the light of the recent upsurge in S. pneumoniae strains with reduced susceptibility to penicillin.
机译:在没有危险因素(例如酗酒,免疫抑制或先前存在关节疾病)的成人中,因肺炎链球菌引起的骨骼和关节感染不常见。我们报告了以前健康的成年人中的两例。临床表现为一名患者的膝部感染性关节炎,另一名患者的椎间盘炎伴硬膜外脓肿。审查了肺炎链球菌的骨和关节感染的特征,重点是危险因素。鉴于近期对青霉素敏感性降低的肺炎链球菌菌株的增加,讨论了治疗策略。

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