| Pyogenic arthritis in infants and children: a review of 95 cases. | |
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MedLine Citation:
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PMID: 3540888 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The clinical and laboratory findings of 95 children with pyogenic arthritis were reviewed to assess etiologic agents, diagnostic tools and results of therapy. Despite obtaining specimens from multiple sites for culture and using antigen detection tests only 64% of patients had an etiologic agent determined. Haemophilus influenzae type b was the most common causative agent identified and 82% of such cases occurred in children between 6 and 24 months of age. Infection due to Staphylococcus aureus was not confined to any age group. Results of laboratory tests which measure inflammatory response were not always abnormal. Platelet count and sedimentation rate frequently rose as clinical improvement occurred. Roentgenograms and radionuclide studies were of little benefit. Therapy included immediate decompression of the joint space, articular rest and use of antibiotics delivered parenterally. Ninety percent of 70 patients who were followed for 1 month to 5 years (mean, 15.5 months) were cured. Eight children had clinically significant sequelae which affected length of extremity, stability of articulations and range of movement. Development of sequelae was significantly associated with infection at age less than 6 months, delay of 4 or more days in institution of medical or surgery treatment, infection due to S. aureus and most strikingly the involvement of the hip or shoulder with concomitant presence of osteomyelitis. |
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Authors:
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C J Welkon; S S Long; M C Fisher; P D Alburger |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Pediatric infectious disease Volume: 5 ISSN: 0277-9730 ISO Abbreviation: Pediatr Infect Dis Publication Date: 1986 Nov-Dec |
Date Detail:
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Created Date: 1987-02-05 Completed Date: 1987-02-05 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8209468 Medline TA: Pediatr Infect Dis Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 669-76 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Bacterial Agents
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therapeutic use Arthritis, Infectious / complications, diagnosis*, therapy Child Child, Preschool Haemophilus Infections / complications, diagnosis, therapy Haemophilus influenzae Humans Infant Inhalation Pneumococcal Infections / complications, diagnosis, therapy Staphylococcal Infections / complications, diagnosis, therapy Streptococcal Infections / complications, diagnosis, therapy Streptococcus pyogenes |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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