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中华关节外科杂志(电子版) ›› 2019, Vol. 13 ›› Issue (04) : 517 -520. doi: 10.3877/cma.j.issn.1674-134X.2019.04.023

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系统性红斑狼疮并沙门菌感染致髋关节破坏1例
唐宏宇1, 王海彬1,(), 何伟1, 张庆文1, 陈镇秋1, 干飞燕1   
  1. 1. 510405 广州中医药大学第一附属医院
  • 收稿日期:2016-09-11 出版日期:2019-08-01
  • 通信作者: 王海彬
  • 基金资助:
    广东省中医药局科研项目(20191099)

Case report of salmonella infections lead to hip joint damage in a patient with systemic lupus erythematosus

Hongyu Tang1, Haibin Wang1(), Wei He1   

  • Received:2016-09-11 Published:2019-08-01
  • Corresponding author: Haibin Wang
引用本文:

唐宏宇, 王海彬, 何伟, 张庆文, 陈镇秋, 干飞燕. 系统性红斑狼疮并沙门菌感染致髋关节破坏1例[J]. 中华关节外科杂志(电子版), 2019, 13(04): 517-520.

Hongyu Tang, Haibin Wang, Wei He. Case report of salmonella infections lead to hip joint damage in a patient with systemic lupus erythematosus[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2019, 13(04): 517-520.

图1 患者第1次入院时双髋关节正位X线片,示右髋关节间隙变窄,股骨头颈及粗隆间骨密度降低
图2 患者第1次入院时双髋关节MRI,示双侧股骨头坏死,右侧明显。图A为双髋冠状面T2像,示右髋关节周围软组织和肌肉T2高信号;图B为右髋矢状面T1像
图3 患者第2次入院时双髋关节正位X片,示右股骨头碎裂,关节面塌陷,股骨头颈及粗隆间骨质吸收明显
图4 患者第2次入院髋关节MRI,示右髋关节周围软组织肿胀,小转子区脓肿形成,双侧股骨头坏死进展。图A为双髋冠状面T2像;图B为右髋矢状面T1像;图C为左髋矢状面T1像
图6 患者第3次入院双髋关节正位X片,示右侧股骨头部分缺如,股骨近端低密度
图7 患者第3次入院双髋关节MRI,示右髋关节少量局限积液,原小转子区脓肿已消失。图A为双髋冠状面T2像;图B为右髋矢状面T1像;图C为左髋矢状面T1像
图9 人工关节置换术后6月复查,X片示假体位置良好,股骨近端骨密度较前增高
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