海洛因濫用近幾年來成為台灣的難題。注射併發症常發生在靜脈內注射藥物者,但骨骼侵犯較少見。在國外文獻中,只有少於10個靜脈內注射藥物者,併發細菌性髖關節炎的報告;在國內文獻中則完全沒有報告。我們報告一位37歲男性靜脈內注射海洛英濫用者,因右髖細菌性關節炎,接受右髖關節開放性沖洗及擴創手術,這位病患接受六週靜脈內抗生素治療後,復原良好。
In the past decade, the risk of septic arthritis has increased in developing countries, especially in patients with HIV infection and intravenous drug abuse(superscript (1-2)). Heroin abuse has become a serious problem in Taiwan. We report a 37-year-old man, an intravenous drug abuser, who underwent open irrigation and debridement for septic arthritis of the right hip joint. The patient recovered satisfactorily after three weeks of intravenous antibiotic therapy.