Neonatal Candida arthritis

Sharma, Shanel; Gangwal, Kapil

doi:10.4103/0019-5413.132533

Cited by 7 publications

(3 citation statements)

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“…Deshpande et al observed similar negative cultures rates in their patients [18] although they noticed only 7% fungal infections. However, it has been observed that the rates of fungal septic arthritis are increasing over a period of time due to rampant use of antibiotics [19] . Other organisms isolated from the pus specimens were most commonly gram negative Klebsiella (24.2%) and E. Coli 6 (6.6%) followed by S. aureus 6 (6.6%) and MRSA 4(4.4%).…”

Section: Discussionmentioning

confidence: 99%

“…Other organisms isolated from the pus specimens were most commonly gram negative Klebsiella (24.2%) and E. Coli 6 (6.6%) followed by S. aureus 6 (6.6%) and MRSA 4(4.4%). It has been observed that in the recent past gram negative organisms have replaced gram positive organisms as the most common cause of septic arthritis [19] . Besides, the type of organism isolated from the specimen depends upon the type of hospital, local dominant flora and patient characteristics (gestational age, birth weight, postnatal age, associated conditions) [20] .…”

Section: Discussionmentioning

confidence: 99%

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Short-term outcome of late presenting neonatal septic arthritis

Ms¹,

Kiranrajappa²,

Syed³

et al. 2019

Int. J. Orthop. Sci.

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Septic arthritis can lead to serious morbidity and mortality. In developing countries most of the cases of septic arthritis presents late, Diagnosis is crucial and often missed. Septic arthritis is already studied, but there is under reporting of neonatal septic arthritis from under developed regions. Aim: To assess the short-term outcome following surgical intervention in patients of neonatal septic arthritis presenting late. Methods: It is a prospective study conducted at tertiary health care center from June 2014 to June 2017. Neonate who presented late (≥ 5 days of symptoms) were included. Total of 110 cases were studied. Diagnosis was made using Modified Kocher's criteria and USG. Arthrotomy was performed in arthrocentesis positive patients. On follow up Patients were clinically and radiologically reassessed using Bennet Scoring System to check for sequalae. Data was collected and analyzed statistically using SPSS software. Results: Mean total leukocyte count, ESR and CRP were 17,000, 51 and 54 respectively. Excellent results were observed in 10% patients. Good, fair and poor results were obtained in 33.6%, 45.5% and 10.9% patients respectively. Conclusion: Septic arthritis leads to significant morbidity in patients who report late to the specialty even after early surgical intervention. There is a need of awareness programme to educate parents to recognize early features of septic arthritis. The clinicians should pick up and refer the patients as early as possible to the concerned specialty to improve the outcome of neonatal septic arthritic.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Short-term outcome of late presenting neonatal septic arthritis

Ms¹,

Kiranrajappa²,

Syed³

et al. 2019

Int. J. Orthop. Sci.

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“…Besides, the type of organism isolated from the specimen depends upon the type of hospital, local dominant ora and patient characteristics (gestational age, birth weight, postnatal age, associated conditions. 16 e coexistence of osteomyelitis and septic arthritis in the newborn population is higher than in pediatric age group.…”

Section: Figure-2: Prognosis According To Mode Of Treatment (N=30)mentioning

confidence: 98%

Diagnosis and Prognosis of Neonatal Septic Arthritis from it’s Early Clinical Characteristics: Experience from a Tertiary Care Hospital

Chowdhury,

Das,

Mannan

et al. 2024

Bangladesh Med J

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Neonatal septic arthritis (NSA) is an unusual illness, but fatal clinical condition and must be diagnosed and treated properly in order to save the neonate's joints and life. High rate of morbidity and mortality may result from NSA if left untreated. Majority of NSA cases in developing countries present themselves late at the health care facilities, making the diagnosis difficult and sometimes overlooked by health care providers. Although septic arthritis has already been investigated but cases of NSA from developing countries are under reported. The goal of the study was to better understand the clinical and microbiological characteristics of neonates with septic arthritis as well as their prognosis of treatment. This prospective observational study was conducted in Neonatal Intensive Care Unit (NICU) of Department of Neonatology and Out Patient Department (OPD) of Orthopaedics, Banga bandhu Sheikh Mujib Medical University (BSMMU). Total 30 neonate presented with acute septic arthritis were included in this study. Data were collected by reviewing record from NICU and disease course, investigation profiles, treatment record of neonates were noted as recorded during the time of hospital stay or attending in OPD. For the assessment of prognosis clinical and radiological findings of all cases were followed-up for 12 months of age. Collected data of neonates with septic arthritis from record review were processed and analyzed by Statistical Package for the Social Sciences (SPSS) and result of analyzed, finally data were presented as in tables and graphs. This study finds that nearly two-third (63%) of the neonates were male and knee joint was most frequently involved, accounting more than two-third ( 67%) of all single joint involvements. All of the cases were anemic and had high C-reactive protein (CRP) level. Joint aspirate samples culture showed that the most prevalent (41%) organism was Klebsiella, followed by Acenotobacter and Seratia. Gram-negative bacteria predominated (91%). Most of the patient (76%) had favorable prognosis after treatment. Clinical evaluation and start of intravenous antibiotics should be given priority in suspected cases. Prompt surgical intervention and consistent follow-up in a tertiary hospital are necessary for the best results. Bangladesh Med J. 2023 Jan; 52(1): 18-23

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Infections primitives systémiques et focales bactériennes : diagnostic, pronostic et traitement

Aujard

2015

Infections Néonatales

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Neonatal Candida arthritis

Cited by 7 publications

References 10 publications

Short-term outcome of late presenting neonatal septic arthritis

Short-term outcome of late presenting neonatal septic arthritis

Diagnosis and Prognosis of Neonatal Septic Arthritis from it’s Early Clinical Characteristics: Experience from a Tertiary Care Hospital

Infections primitives systémiques et focales bactériennes : diagnostic, pronostic et traitement

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