Bacterial arthritis: Are fever, rigors, leucocytosis and blood cultures of diagnostic value?

Schlapbach, P; Ambord, C.; Blöchlinger, A M; Gerber, N. J.

doi:10.1007/bf02030245

Cited by 30 publications

(16 citation statements)

References 17 publications

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“…Leucocytosis and an elevated erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) are important auxilliary laboratory guides. However, without a high clinical suspicion, diagnosis is often delayed [39]. Twelve patients in our non-SLE group had a positive culture and a correct diagnosis only after surgery.…”

Section: Discussionmentioning

confidence: 95%

Salmonella septic arthritis in systemic lupus erythematosus and other systemic diseases

Chen

Luo

et al. 1998

Clin Rheumatol

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Salmonella infection is an important problem in immunocompromised patients. The synovium is a particular metastatic focus of Salmonella infection and can result in many disabilities of life. Systemic lupus erythematosus (SLE) patients were highly susceptible to Salmonella infection. In the past 6 years, 41 patients with Salmonella septic arthritis have been treated in our hospital. Eleven patients had an underlying systemic disease of SLE which presented with a distinctive clinical course. Alcoholic liver disease (six cases) was another common underlying systemic disease. The most frequent predisposing articular factor was avascular necrosis (16 cases). The hip joint was the most commonly involved site. Salmonella group B was the most common serotype (30/41). Seventy-three per cent (8/11) of the SLE group had involvement of two or more joints compared with only three out of 30 patients in the non-SLE group. The sex differentiation shows a predominance of young females (10/11) in the SLE group and middle-aged males in the non-SLE group. Moreover, in the SLE group, all 11 patients shared the risk of lupus nephritis and steroid use. Ten patients had Salmonella group B bacteraemia and five had urinary tract infections simultaneously. In the non-SLE group, there were 10 patients with a history of steroid use, three with antecedent enteritis, 12 with bacteraemia, and three with necrotising fasciitis. Seven patients in each of the groups had a recurrent course. However, three patients in the non-SLE group had died during the episode of septic arthritis.

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Section: Discussionmentioning

confidence: 95%

Salmonella septic arthritis in systemic lupus erythematosus and other systemic diseases

Chen

Luo

et al. 1998

Clin Rheumatol

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“…Fever is present in up to 80%, however, a retrospective review recorded fever present in only 40% and rigors in only 21% (6,7). Sensitivity of erythrocyte sedimentation rate is nearly 100% but is nonspecific (4).…”

Section: Discussionmentioning

confidence: 97%

Septic Arthritis and Bursitis: Emergency Ultrasound Can Facilitate Diagnosis

Costantino

Roemer

Leber

2007

The Journal of Emergency Medicine

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“…Fever was reported in 40% to 78% of patients in other studies which concluded that bacterial arthritis can present with few symptoms and the absence of fever does not rule out the diagnosis. 9,15 The knee and hip were the most commonly affected joints and the majority of the patients (96%) had single joint involvement. This is consistent with the findings in most other series of nongonococcal septic arthritis.…”

Section: Discussionmentioning

confidence: 99%

Nongonococcal Septic Arthritis at a Major Teaching Hospital in Riyadh, Saudi Arabia

Al-Ballaa

1995

Ann Saudi Med

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Twenty five (25) consecutive cases of nongonococcal septic arthritis admitted to King Khalid University Hospital were retrospectively reviewed. The patients were mostly adults (64%) and Staphylococcus aureus was the most common bacterial species isolated (69%). Predisposing factors were identified in 52% of patients, including diabetes mellitus in seven patients, pre-existing joint disease in two patients and the infection followed intraarticular steroid injections in two patients. All patients were treated with appropriate antibiotics; however, 11 (44%) patients were left with permanent joint damage.

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Bacterial arthritis: Are fever, rigors, leucocytosis and blood cultures of diagnostic value?

Cited by 30 publications

References 17 publications

Salmonella septic arthritis in systemic lupus erythematosus and other systemic diseases

Salmonella septic arthritis in systemic lupus erythematosus and other systemic diseases

Septic Arthritis and Bursitis: Emergency Ultrasound Can Facilitate Diagnosis

Nongonococcal Septic Arthritis at a Major Teaching Hospital in Riyadh, Saudi Arabia

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