Clinical features and outcome of septic arthritis in a single UK Health District 1982-1991

Weston, Vivienne; Jones, Adrian; Bradbury, Nellie; Fawthrop, Fiona; Doherty, Michael

doi:10.1136/ard.58.4.214

Cited by 456 publications

(344 citation statements)

References 14 publications

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“…Untreated joint infection can lead to irreversible destruction of articular cartilage, disability, systemic sepsis and death [3,4,7]. A retrospective study of septic arthritis in the United Kingdom reported 23.8% of patients had considerable loss of function in the affected joint and 11.5% of patients died as a result of their illness [18].…”

Section: Introductionmentioning

confidence: 99%

Hematogenous Septic Ankle Arthritis

Holtom

Borges

Zalavras

2008

Clinical Orthopaedics &Amp; Related Research

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Ankle infection is a serious problem with limited published information on microbiology and associated morbidities. We describe the laboratory findings, microbiology, and occurrence of adjacent osteomyelitis in patients with hematogenous septic ankle arthritis. We retrospectively reviewed 30 patients with hematogenous septic arthritis of the ankle admitted over a 10-year period. Twenty-two patients were male and eight female. The mean age was 46 years (range, 23-67 years). C-reactive protein and erythrocyte sedimentation rate were elevated in all patients, but the peripheral white blood cell count was elevated in only 47% of patients. Staphylococcus aureus (S. aureus) was the most common pathogen, isolated in 13 (54%) of the 24 patients with positive cultures; four of these isolates (four of 24; 17% of positive cultures) were oxacillin-resistant. Four (17%) of the 24 patients with positive cultures had a mycobacterial infection. We identified adjacent osteomyelitis in 30% of patients, which was considerably associated with the presence of patient comorbidities. S. aureus is the most common pathogen in septic ankle arthritis and empiric antibiotic therapy is recommended. Adjacent osteomyelitis may be present and a high index of suspicion is necessary in patients with comorbidities.

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Section: Introductionmentioning

confidence: 99%

Hematogenous Septic Ankle Arthritis

Holtom

Borges

Zalavras

2008

Clinical Orthopaedics &Amp; Related Research

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“…Infection sites that were associated with the highest rate ratio were the joints (rate ratio for SA 14.89 [95% CI 6.12-73.71]), bone (rate ratio for osteomyelitis 10.63 [95% CI 3.39-126.81]), and skin and soft tissues (rate ratio 3.28 [95% CI 2.67-4.07]) [4]. SA is a serious and severe condition for patients that can lead to irreversible joint destruction, and the incidence of SA in the general population is around 4-10/100,000/person-years [5,6]. SA is lethal around 10% of a death rate [7].…”

Section: Risk Of Septic Arthritis (Sa) In Ra Patientsmentioning

confidence: 99%

Perioperative Surgical Site Infections and Complications in Elective Orthopedic Surgery in Patients with Rheumatoid Arthritis Treated with Anti-Tumor Necrosis Factor-Alpha Agents − Discontinue or Not, Clinical Dilemma

Komiya¹,

Terada²

2013

Innovative Rheumatology

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“…However, conclusive and specific evidence has not been established for the etiology of this disease (2).…”

Section: Introductionmentioning

confidence: 99%

“…Septic arthritis is one of the problems of rheumatological and orthopedic emergency medicine (1,2). The disease is caused by various microorganisms, particularly bacteria, causing destruction of the joint space.…”

Section: Introductionmentioning

confidence: 99%

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A Case Report on Bilateral Knee Coverage Following Septic Arthritis: Lateral Distal Thigh Island Flap and Medial Head Gastrocnemius Flap Methods

Abdolrazaghi

Abolfazli

2016

Thrita

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Introduction: Septic arthritis is the rheumatological and orthopedic emergency that causes the most difficulties with joints-especially knee and hip joints. The clinical symptoms include pain, swelling, inflammation, stiffness, and a limited range of motion in both active and passive joints. Debridement of the necrotic tissue is one beneficial method for septic arthritis treatment, although soft tissue defects around joints are a challenging issue for surgeons. Our purpose was to investigate the consequences of two flap surgery methods undertaken to repair soft tissue damaged during knee joint debridement caused by septic arthritis. Case Presentation: This is a case report concerning a patient who had septic arthritis in the knee area and so underwent soft tissue surgery. The reconstruction methods were not the same for both knees as the lateral distal thigh island flap reparation method was used on the left knee and the medial head gastrocnemius flap method was utilized on the right. We then investigated the results and outcomes of the surgery three months later. Conclusions: Lower extremity movement extent was carefully evaluated and, in respect to muscle strength, the patient was able to walk independently three months after the surgery. The patient's balance was studied and the results showed moderate levels of stability.

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Clinical features and outcome of septic arthritis in a single UK Health District 1982-1991

Cited by 456 publications

References 14 publications

Hematogenous Septic Ankle Arthritis

Hematogenous Septic Ankle Arthritis

Perioperative Surgical Site Infections and Complications in Elective Orthopedic Surgery in Patients with Rheumatoid Arthritis Treated with Anti-Tumor Necrosis Factor-Alpha Agents − Discontinue or Not, Clinical Dilemma

A Case Report on Bilateral Knee Coverage Following Septic Arthritis: Lateral Distal Thigh Island Flap and Medial Head Gastrocnemius Flap Methods

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