Document Detail

Primary septic arthritis in heroin users: early diagnosis by radioisotopic imaging and geographic variations in the causative agents.
MedLine Citation:
PMID:  3480956     Owner:  NLM     Status:  MEDLINE    
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.
F J Lopez-Longo; H A Ménard; L Carreño; J Cosin; R Ballesteros; I Monteagudo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of rheumatology     Volume:  14     ISSN:  0315-162X     ISO Abbreviation:  J. Rheumatol.     Publication Date:  1987 Oct 
Date Detail:
Created Date:  1988-03-02     Completed Date:  1988-03-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7501984     Medline TA:  J Rheumatol     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  991-4     Citation Subset:  IM    
Department of Medicine, Hospital Provincial, Madrid, Spain.
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MeSH Terms
Arthritis, Infectious / radionuclide imaging*
Candidiasis / radionuclide imaging
Gallium Radioisotopes / diagnostic use
Heroin Dependence / complications*
Joints / radionuclide imaging
Staphylococcal Infections / radionuclide imaging
Streptococcal Infections / radionuclide imaging
Technetium Tc 99m Medronate / diagnostic use
Reg. No./Substance:
0/Gallium Radioisotopes; 63347-66-0/Technetium Tc 99m Medronate
Comment In:
J Rheumatol. 1989 Feb;16(2):256-7   [PMID:  2746579 ]

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