Septic arthritis following mumps in a case of steroid dependent nephrotic syndrome: a case report

Karan J. Bhoomraddi, Vaishnavi G. Koshatwar, P. Inamdar, Rajesh Rai, R. Naulakha
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Abstract

Nephrotic syndrome is a common renal disorder with an incidence of 20 to 40 per million population in developed countries. Children with nephrotic syndrome are especially susceptible to infections such as cellulitis, spontaneous bacterial peritonitis, and bacteremia. However, septic arthritis is an extremely rare complication in nephrotic syndrome. A 6-year-old girl with steroid dependent nephrotic syndrome relapsed following mumps parotitis and developed swelling of the right knee with restricted movements. Ultrasonography (USG) and magnetic resonance imaging (MRI) were suggestive of septic arthritis. The child responded to intravenous Vancomycin and Ceftazidime. We present a rare complication of nephrotic syndrome as septic arthritis, previously reported only once.  
一例类固醇依赖性肾病综合征患者因流行性腮腺炎引发的化脓性关节炎:病例报告
肾病综合征是一种常见的肾脏疾病,在发达国家的发病率为每百万人口 20 至 40 例。肾病综合征患儿特别容易受到感染,如蜂窝织炎、自发性细菌性腹膜炎和菌血症。然而,化脓性关节炎是肾病综合征极为罕见的并发症。一名患有类固醇依赖性肾病综合征的 6 岁女孩在腮腺炎后复发,并出现右膝肿胀和活动受限。超声波检查(USG)和磁共振成像(MRI)提示患化脓性关节炎。患儿对静脉注射万古霉素和头孢他啶有反应。我们介绍了肾病综合征的一种罕见并发症--化脓性关节炎,此前仅报道过一次。
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