Utilisation of musculoskeletal ultrasonography for the evaluation of septic arthritis in a patient presenting to the emergency department with fever during the era of COVID-19

Pérez, J Rincón; Sorensen, Stefani; Rosselli, Michael

doi:10.1136/bcr-2021-242370

Cited by 2 publications

(4 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Except for the case reports, the remaining 13 articles were divided into two categories based on their main purpose: the first cluster comprised 9 articles [9][10][11][12][13][14][15][16][17] which studied the contribution of POCUS to the diagnosis of undifferentiated hypotensive/critically ill, non-traumatic patients (Table 1); the second cluster consisted of 5 articles [18][19][20][21][22] which studied the utility of POCUS in determining sepsis cause and managing those patients (Table 2). The main results of the 12 case reports [23][24][25][26][27][28][29][30][31][32][33][34] are presented in Table 3. [32] 79-yo male, with a medical history of DM, hypertension, CAD, febrile, mild dyspnea, chills, myalgias, arthralgias for the past 2 days.…”

Section: Resultsmentioning

confidence: 99%

“…The main results of the 12 case reports [23][24][25][26][27][28][29][30][31][32][33][34] are presented in Table 3. [32] 79-yo male, with a medical history of DM, hypertension, CAD, febrile, mild dyspnea, chills, myalgias, arthralgias for the past 2 days.…”

Section: Resultsmentioning

confidence: 99%

“…In all previous four cases, POCUS imaging played a pivotal role in the accurate diagnosis of the sepsis cause. Finally, two case reports and a retrospective case series analysis involved the musculoskeletal system: necrotizing fasciitis of the left inner thigh, diagnosed via RUSH protocol [24]; glenohumeral joint septic arthritis and subdeltoid septic bursitis, in which case musculoskeletal POCUS was diagnostic through ultrasound-guided needle aspiration [32]; and septic arthritis of the hip diagnosed via POCUS and treated with aspiration in the ED in a series of 17 children [31].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Point of Care Ultrasonography for the Septic Patient in the Emergency Department: A Literature Review

Verras

Ventoulis

Bezati

et al. 2023

JCM

View full text Add to dashboard Cite

The point-of-care ultrasound (POCUS) has been effectively used in intensive care units for the management of septic patients. Since it is a time- and cost-effective non-invasive imaging modality, its use in the emergency department (ED) has been advocated for by medical experts. This review summarizes the existing literature regarding the breadth of POCUS as a supplementary tool to the holistic approach of septic patients in the ED setting. A literature search was conducted via PubMed (MEDLINE), Cochrane Library, and Scopus databases, analyzing studies which examined the use of POCUS in the ED for non-traumatic, septic, and/or undifferentiated hypotensive patients, resulting in 26 studies. The first cluster of studies investigates the efficiency of POCUS protocols in the differential diagnosis and its reliability for distributive/septic shock and sepsis management. In the second cluster, POCUS use results in faster sepsis cause identification and improves therapeutic management. The third cluster confirms that POCUS aids in the accurate diagnosis and management, even in rare and complicated cases. The results of the present review support the well-documented utility of POCUS and highlight the importance of POCUS incorporation in the comprehensive management of the septic patient in the ED setting.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Point of Care Ultrasonography for the Septic Patient in the Emergency Department: A Literature Review

Verras

Ventoulis

Bezati

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

“…These conditions present with similar symptoms such as joint pain, swelling and stiffness, thus making it difficult to differentiate them from septic arthritis based on clinical examination alone. POCUS can help distinguish septic arthritis from these clinical entities by visualizing the joint space, the synovial membrane and the surrounding soft tissue [ 49 , 50 , 51 ].…”

Section: Pocus As a Tool For Diagnosismentioning

confidence: 99%

Point-of-Care Ultrasound: A Multimodal Tool for the Management of Sepsis in the Emergency Department

et al. 2023

View full text Add to dashboard Cite

Sepsis and septic shock are life-threatening emergencies associated with increased morbidity and mortality. Hence, early diagnosis and management of both conditions is of paramount importance. Point-of-care ultrasound (POCUS) is a cost-effective and safe imaging modality performed at the bedside, which has rapidly emerged as an excellent multimodal tool and has been gradually incorporated as an adjunct to physical examination in order to facilitate evaluation, diagnosis and management. In sepsis, POCUS can assist in the evaluation of undifferentiated sepsis, while, in cases of shock, it can contribute to the differential diagnosis of other types of shock, thus facilitating the decision-making process. Other potential benefits of POCUS include prompt identification and control of the source of infection, as well as close haemodynamic and treatment monitoring. The aim of this review is to determine and highlight the role of POCUS in the evaluation, diagnosis, treatment and monitoring of the septic patient. Future research should focus on developing and implementing a well-defined algorithmic approach for the POCUS-guided management of sepsis in the emergency department setting given its unequivocal utility as a multimodal tool for the overall evaluation and management of the septic patient.

show abstract

Utilisation of musculoskeletal ultrasonography for the evaluation of septic arthritis in a patient presenting to the emergency department with fever during the era of COVID-19

Cited by 2 publications

References 18 publications

Point of Care Ultrasonography for the Septic Patient in the Emergency Department: A Literature Review

Point of Care Ultrasonography for the Septic Patient in the Emergency Department: A Literature Review

Point-of-Care Ultrasound: A Multimodal Tool for the Management of Sepsis in the Emergency Department

Contact Info

Product

Resources

About