Septic Arthritis (Subscribe)  

Conclusion: PCT is not a good screening test for identifying skeletal infection in children. Larger studies are needed to evaluate still more the place of PCT ...

CONCLUSIONS: Septic arthritis coexistent with gout presented a diagnostic difficulty. An early diagnosis requires a high level of suspicion. Prompt aspiration and analysis of the synovial fluid is imperative, regardless of the absence of fever or leucocytosis. Culture of the aspirated synovial fluid is warranted in gouty attack, even when...

A child with isolated Mycobacterium tuberculosis monoarthritis, with features initially suggesting oligoarthritis subtype of juvenile idiopathic arthritis, is presented. This patient illustrates the need to consider the possibility of tuberculosis as the cause of oligoarthritis in high-risk pediatric populations even in the absence of a tuberculosis contact history and without...

Acute septic arthritis affects all age groups. It is caused by haematogenous spread of a bacterial organism, or by a penetrating injury. The joint is swollen and painful to move. Treatment is by arthrotomy and irrigation, appropriate antibiotic therapy, splints and physiotherapy.

Historically, synovial fluids have been classified as noninflammatory (WBC count 50-1000), inflammatory (WBC count 1000-75,000), septic (WBC count>100,000), or hemorrhagic. However, septic synovial fluid can have cell counts as low as a few thousand early in the infectious process; thus, differentiation of inflammatory and septic joints is not truly possible...

Infective arthritis may represent a direct invasion of joint space by various microorganisms, including bacteria, viruses, mycobacteria, and fungi. Reactive arthritis, a sterile inflammatory process, may be the consequence of an infectious process located elsewhere in the body. Although any infectious agent may cause arthritis, bacterial pathogens are the most...

Septic arthritis is inflammation of a synovial membrane with purulent effusion into the joint capsule, usually due to bacterial infection. This disease entity also is referred to in the literature as bacterial, suppurative, purulent, or infectious arthritis. Septic arthritis is a rather rare but important disease that typically affects monoarticular joints....

Septic arthritis in infancy and childhood is a true clinical emergency. Delays in the diagnosis and treatment of septic arthritis can result in disastrous complications, including complete destruction of the articular cartilage and the underlying epiphysis, loss of the adjacent growth plate, and dislocation of the joint. With prompt treatment,...

Septic Arthritis (other than Hip)
Objectives
1. Describe diagnostic features of joint sepsis in children
2. Describe the natural history of joint sepsis in children
3. Describe the organisms most likely to result in joint sepsis in your location
4. Describe treatment for...

Definition Septic arthritis is a common destructive arthropathy that requires prompt diagnosis and treatment to avoid the significant morbidity that results from the loss of a joint. Therefore, it should be strongly considered in the differential diagnosis of monoarticular disease. Diagnosis Traditionally, the diagnosis of septic arthritis was based on clinical assessment and...

- septic arthritis of the hip is a surgical emergency;
- it is essential that dx be made ASAP to prevent joint damage;
- if any pus is obtained from arthrotomy, then immediate arthrotomy is indicated, regardless of the Graim Stain results;
...

See notes on:
- Bursae of the Knee:
- Septic Arthritis:
- Diff Dx:
- referred pain from the hip
- osteochondritis dissecans
- traumatic internal derangement
- distal...

Septic arthritis of the hip may result in a spectrum of pathologic changes on one or both sides of the joint. Although the etiology is most often pyogenic, similar clinical and radiographic findings may be seen with granulomatous infection (tuberculosis). The findings depend upon the severity of the infection, whether...

The possibility of penetrating injury with plant material should always be considered and excluded in cases of an apparent rapidly developing effusion, and careful attention to the history of injury must be made. A normal CRP result, as in this case, adds further weight to this differential diagnosis, as it...