Concomitant Septic Arthritis on Gouty Arthropathy: A Case Report  

作　　者：N. E. Lamini N’Soundhat N. E. Ontsira Ngoyi D. C. Nkouala Kidede H. Ntsiba N. E. Lamini N’Soundhat;N. E. Ontsira Ngoyi;D. C. Nkouala Kidede;H. Ntsiba(Rheumatology Department, Brazzaville University Teaching Hospital, Congo;Bacteriology, Immunology and Virology Laboratory, Brazzaville University Teaching Hospital, Congo)

机构地区：[1]Rheumatology Department, Brazzaville University Teaching Hospital, Congo [2]Bacteriology, Immunology and Virology Laboratory, Brazzaville University Teaching Hospital, Congo

出　　处：《Open Journal of Rheumatology and Autoimmune Diseases》2016年第2期40-44,共5页风湿病与自身免疫疾病期刊（英文）

摘　　要：We’re reporting the case of an arthritis to banal germ occurred in concomitance with an advanced polyarticular of gout. It was about a patient of 59 years with alcoholic and gouty chronicle more than 10 years, but without specialized medical follow-up. He has been admitted in hospitalization for a big inflammatory and stiff right knee, letting rising the pus through two cutaneous fistulas in a context of non-febrile change of his peripheral polyarthritis of the big and small articulations. Gout was at distal predominance, bilateral, distorting, tophaceous and active. Inflammatory syndrome was important (ESR = 50 mm in the 1st hour and CRP = 28 mg/l) and uricemia was high, at 84 mg/l. The glycaemia, the hepatic, the viral, renal and serological evaluation (HIV and B, C hepatitis) were normal. The bacteriological analysis of the pus collected after puncture of the knee and cleaning identified a negative gram bacillus, Morganella morganii, multi-resistant, but sensitive to the Imipeneme and to the aminosides. The evolution was lethal in a picture of multivisceral failing in spite of a bi-antibiotherapy and under hypo-uricemia treatment prescription.We’re reporting the case of an arthritis to banal germ occurred in concomitance with an advanced polyarticular of gout. It was about a patient of 59 years with alcoholic and gouty chronicle more than 10 years, but without specialized medical follow-up. He has been admitted in hospitalization for a big inflammatory and stiff right knee, letting rising the pus through two cutaneous fistulas in a context of non-febrile change of his peripheral polyarthritis of the big and small articulations. Gout was at distal predominance, bilateral, distorting, tophaceous and active. Inflammatory syndrome was important (ESR = 50 mm in the 1st hour and CRP = 28 mg/l) and uricemia was high, at 84 mg/l. The glycaemia, the hepatic, the viral, renal and serological evaluation (HIV and B, C hepatitis) were normal. The bacteriological analysis of the pus collected after puncture of the knee and cleaning identified a negative gram bacillus, Morganella morganii, multi-resistant, but sensitive to the Imipeneme and to the aminosides. The evolution was lethal in a picture of multivisceral failing in spite of a bi-antibiotherapy and under hypo-uricemia treatment prescription.

关 键 词：Septic Arthritis GOUT BRAZZAVILLE 

分 类 号：R57[医药卫生—消化系统]