Septic arthritis in patients followed‐up in neonatal intensive care unit

Abstract

The most important prognostic factor in predicting a favorable outcome in neonatal septic arthritis is early diagnosis and therapy. When appropriate treatment is delayed, catastrophic sequelae are inevitable. Early diagnosis of the condition and rapid removal of pus are mandatory for the survival of the joint. Long-term follow-up may reveal effects of epiphyseal damage, early degenerative changes and limitation of the range of motion.

Septic Hip Dislocation with a Preserved Femoral Head: Successful Outcome Following Open Reduction

“…Septic arthritis in neonates is uncommon and can be difficult to diagnose compared to older children ( Kabak et al 2002;Forlin & Milani 2008). This can lead to a delay of treatment which subsequently affects the growth of the femoral head and proximal femur.…”

“…A child is at risk of a poorer prognosis especially with sepsis during early infancy and with a delay in initial therapy. Kabak et al (2002) followed up 14 neonates treated for…”

Streptococcus dysgalactiae Subspecies Equisimilis; An Agent Rarely Encountered in the Etiology of Septic Arthritis

“…The leukocyte count of the synovial fluid > 50.000/mm 3 ( > 80% PMNL) are sufficient to reach a diagnosis, irrespective of the presence or absence of culture growth (9). Analysis of blood culture is also important in the presence of concomitant infectious diseases such as meningitis and endocarditis due to increased mortality rates of about 25%, particularly in elderly patients (1).…”

Serratia Marcescens Septic Arthritis in a Case of Escobar Syndrome

“…Egzersiz ile yapışıklıklara bağlı oluşan deformiteleri önleyerek eklemin yeniden normal işlevinin kazandırılması eklem enfeksiyonuna bağlı sekelleri azaltmada en etkili yöntemdir. 5 Yalnızca anti-biyoterapi verilmesi yeterli olmayıp drenaj yapıldığında biriken pürülan materyaller eklemden uzaklaştırılarak hem antibiyotiğin etkisi arttırılmakta hem de kıkırdak üzerinde basınç nedeniyle oluşabilecek dejeneratif değişiklikler önlenebilmektedir. Drenaj, iğne aspirasyonu, artrotomi veya artroskopik yolla yapılabilir.…”