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摘要:
The pneumococcal septic arthritis is uncommon in healthy adults. In most cases, it occurs in patients with immune deficiency. Its exceptional location at the wrist can maintain doubt with rheumatic causes which are more frequent. IgG4 deficiency found in this patient was the only cause that could be impugned. We report the case of a young woman of 46 years without any evident cause of immunodeficiency and any particular risk factor, managed for septic arthritis of the wrist due to Streptococcus pneumoniae. This case without any apparent risk factors demonstrates that pneumococcal infection in a more distant articulation of the ENT is still possible. Scan has been a very significant contribution in confirming the positive diagnosis that leads to surgical drainage. The approach of the systematic search for the gateway must be done. In the study of the patient’s immune status, the realization of the protein profile could be interesting and then guide the practitioner in the decision to vaccinate the patient against Streptococcus pneumoniae if he was not. We recommend looking always for a cause of immunodeficiency including primary Ig defiencies even among adult.
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篇名 Wrist Septic Arthritis Due to <i>Streptococcus pneumoniae</i>Revealing a Selective Immunoglobulin G4 Subclass Deficiciency: A Case Report
来源期刊 矫形学期刊(英文) 学科 医学
关键词 Streptococcus PNEUMONIAE SEPTIC Arthritis WRIST IgG4 SUBCLASS Deficiency
年,卷(期) 2015,(11) 所属期刊栏目
研究方向 页码范围 350-354
页数 5页 分类号 R73
字数 语种
DOI
五维指标
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节点文献
Streptococcus
PNEUMONIAE
SEPTIC
Arthritis
WRIST
IgG4
SUBCLASS
Deficiency
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
矫形学期刊(英文)
月刊
2164-3008
武汉市江夏区汤逊湖北路38号光谷总部空间
出版文献量(篇)
366
总下载数(次)
0
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