Septic arthritis in childhood

Abstract

We would like to emphasize that SA is mono-articular, frequently localized in the knee, hip and ankle in 85% of patients, joint fluid culture was positive in 55% of patients, bacteria was isolated from one or more cultures of blood, joint fluid, pus or bone in 70% of patients and the most common isolated micro-organism was S. aureus. In addition, it must be pointed out that children younger than 2 years of age with fever, a positive trauma history and/or abnormal joint findings should be carefully examined for SA because the rate of SA was lower (7.5%) than expected in this age group. We also found that the mortality of SA was not influenced by age, joint involvement and bacterial agents, and there was no significant difference in symptoms on admission, the history of trauma and antibiotic use, sex, age, fever, joint involvement,anemia, leukocytosis and micro-organisms isolated from joint fluid and blood between patients with SA

Elbow septic arthritis associated with pediatric acute leukemia: a case report and literature review

“…[10,12] The joint fluid culture was negative in the present case, and this result occurs in 45 to 60% of septic arthritis cases even if cultures are obtained before antibiotics are administered. [5,10,11] Especially in acute leukemia, it remains unclear whether the bacterial infection is located in the joint or the inflammatory changes in the joint are caused by malignancy. [5] In the present case, the child had had constant high fever with pancytopenia, and the elbow joint was still painful, locally heated, and swollen with scratches.…”

“…[9] Septic arthritis is a medical and surgical emergency that, if left untreated, may lead to permanent joint disfigurement and loss of function. [10,11] In general, septic arthritis often occurs in children younger than five years of age, with a male-to-female ratio of approximately 2:1. [10] Most studies note that approximately 90% of arthritis is monoarticular and occurs mainly in the knee and hip, followed by the ankle.…”

“…[10,11] In general, septic arthritis often occurs in children younger than five years of age, with a male-to-female ratio of approximately 2:1. [10] Most studies note that approximately 90% of arthritis is monoarticular and occurs mainly in the knee and hip, followed by the ankle. [10,12] The joint fluid culture was negative in the present case, and this result occurs in 45 to 60% of septic arthritis cases even if cultures are obtained before antibiotics are administered.…”

“…[10] Most studies note that approximately 90% of arthritis is monoarticular and occurs mainly in the knee and hip, followed by the ankle. [10,12] The joint fluid culture was negative in the present case, and this result occurs in 45 to 60% of septic arthritis cases even if cultures are obtained before antibiotics are administered. [5,10,11] Especially in acute leukemia, it remains unclear whether the bacterial infection is located in the joint or the inflammatory changes in the joint are caused by malignancy.…”

A rare case of maxillary sinus osteomyelitis with intraorbital, extraconal abscess in a term low birth weight twin

“…The reported incidence varies from 5-12 per 100,000 infants [1], with a very high mortality rate (7.3%) [2]. The most frequently affected joints are hip, knee and shoulder, while maxillary sinus is rarely involved [3,4].…”