{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T12:10:22Z","timestamp":1648815022707},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2020,12,17]],"date-time":"2020-12-17T00:00:00Z","timestamp":1608163200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,12,17]],"date-time":"2020-12-17T00:00:00Z","timestamp":1608163200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Bonn"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Z Rheumatol"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die septische Arthritis und Spondylodiszitis stellen bei immunsupprimierten Patienten eine wichtige Differenzialdiagnose des Gelenk- oder Wirbels\u00e4ulenschmerzes dar. Hierbei kommt es zu einem Erregerbefall eines Gelenks bzw. einer Bandscheibe und angrenzender Wirbelk\u00f6rper. Es zeigen sich meist unspezifische Symptome wie lokaler Gelenk- oder R\u00fcckenschmerz, Fieber und verringerter Allgemeinzustand. Diagnostisch kann bei klinischem Verdacht die bakterielle Besiedelung durch eine Gelenkpunktion und Blutkulturen nachgewiesen werden. Zur Diagnosefindung einer Spondylodiszitis sollte eine bildmorphologische Darstellung mittels Magnetresonanztomographie erfolgen. Neben einer ad\u00e4quaten Schmerztherapie und empirischer antibiotischer Therapie sollte bei einer septischen Arthritis die chirurgische Entfernung des infekti\u00f6sen Materials aus dem Gelenk angestrebt werden. Eine chirurgische Versorgung der Spondylodiszitis sollte bei auftretenden Komplikationen erfolgen. Die folgende Kasuistik stellt den gleichzeitigen Befund einer septischen Polyarthritis und Spondylodiszitis bei einem immunsupprimierten Patienten mit HIV-Infektion vor und zeigt eindr\u00fccklich das Auftreten von Komplikationen bei Verz\u00f6gerung einer ad\u00e4quaten Therapie.<\/jats:p>","DOI":"10.1007\/s00393-020-00943-8","type":"journal-article","created":{"date-parts":[[2020,12,17]],"date-time":"2020-12-17T17:02:54Z","timestamp":1608224574000},"page":"184-188","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Koexistente septische Arthritis und Spondylodiszitis als wichtige Differenzialdiagnose bei immunsupprimierten Patienten"],"prefix":"10.1007","volume":"80","author":[{"given":"S.","family":"Pfahler","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Pflugmacher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Karakostas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Dabir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V. 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