Abstract：
We report a case of septic arthritis in a 43-year-old female patient. Despite initial treatment with ceftriaxone for Nontyphoidal Salmonella based on blood and joint fluid culture results, the shoulder joint pain worsened. Suspected systemic lupus erythematosus associated synovitis did not respond to immunosuppressive therapy including methylprednisolone, hydroxychloroquine and methotrexate. Subsequent radiograph revealed a shoulder joint abscess, leading to arthroscopic joint debridement. Ceftriaxone was administered post-operatively until analgesic efficacy was attained. This case highlights the significance of accurate diagnosis and appropriate treatment for nontyphoidal Salmonella septic arthritis.
摘要：
我们报告了一名43岁女性患者的化脓性关节炎病例。尽管根据血液和关节液培养结果，最初用头孢曲松治疗非伤寒沙门氏菌，肩关节疼痛加重。疑似系统性红斑狼疮相关滑膜炎对包括甲基强的松龙在内的免疫抑制治疗没有反应，羟氯喹和甲氨蝶呤。随后的X光片显示肩关节脓肿，导致关节镜下关节清创术。术后给予头孢曲松直至达到镇痛效果。此病例强调了非伤寒沙门氏菌化脓性关节炎的准确诊断和适当治疗的重要性。
