| Primary septic arthritis in heroin users: early diagnosis by radioisotopic imaging and geographic variations in the causative agents. | |
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MedLine Citation:
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PMID: 3480956 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We reviewed 37 cases of septic arthritis in heroin users. Our data confirm the predominance of the fibrocartilaginous joint infections in this group (sacroiliac joint 39%, chondrosternocostal unions 37%). In Spain, Staphylococcus aureus is the most commonly isolated organism (73%). This emphasizes the geographic variations in the causative germs since, in contrast to other reports, we have not identified any gram negative bacillary arthritis in our population of heroin users. Our data show that the 67gallium citrate scintigraphy is positive earlier than the 99mTc-MDP bone scan in the poorly vascularized joints (p less than 0.0005). The early localization of the infectious focus by 67gallium citrate scintigraphy followed by a prompt bacteriologic diagnosis (blood, synovial fluid or tissue cultures) allowed good therapeutic results. |
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Authors:
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F J Lopez-Longo; H A Ménard; L Carreño; J Cosin; R Ballesteros; I Monteagudo |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of rheumatology Volume: 14 ISSN: 0315-162X ISO Abbreviation: J. Rheumatol. Publication Date: 1987 Oct |
Date Detail:
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Created Date: 1988-03-02 Completed Date: 1988-03-02 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7501984 Medline TA: J Rheumatol Country: CANADA |
Other Details:
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Languages: eng Pagination: 991-4 Citation Subset: IM |
Affiliation:
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Department of Medicine, Hospital Provincial, Madrid, Spain. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Arthritis, Infectious / radionuclide imaging* Candidiasis / radionuclide imaging Female Gallium Radioisotopes / diagnostic use Heroin Dependence / complications* Humans Joints / radionuclide imaging Male Staphylococcal Infections / radionuclide imaging Streptococcal Infections / radionuclide imaging Technetium Tc 99m Medronate / diagnostic use |
| Chemical | |
Reg. No./Substance:
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0/Gallium Radioisotopes; 63347-66-0/Technetium Tc 99m Medronate |
| Comments/Corrections | |
Comment In:
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J Rheumatol. 1989 Feb;16(2):256-7
[PMID:
2746579
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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