Document Detail

Septic arthritis caused by chronic osteomyelitis.
MedLine Citation:
PMID:  9234979     Owner:  NLM     Status:  MEDLINE    
We have treated four cases of previously quiescent osteomyelitis which presented as septic arthritis in an adjacent joint. The osteomyelitic focus was in the bone proximal to the involved joints (zero to ten centimeters above the joint line). Based on the presenting history, physical findings, laboratory tests and cultures of joint fluids, the joint sepsis was low grade in all patients which led to delays in diagnosis and treatment. Aggressive surgical debridement of both bone and joint, followed by a prolonged course of antibiotics led to resolution in all patients. A high index of suspicion combined with adequate radiographs of the surrounding bones should lead to the appropriate diagnosis and treatment.
J L Marsh; P A Watson; C A Crouch
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Iowa orthopaedic journal     Volume:  17     ISSN:  1541-5457     ISO Abbreviation:  Iowa Orthop J     Publication Date:  1997  
Date Detail:
Created Date:  1997-09-12     Completed Date:  1997-09-12     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8908272     Medline TA:  Iowa Orthop J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  90-5     Citation Subset:  IM    
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MeSH Terms
Anti-Bacterial Agents / therapeutic use
Arthritis, Infectious / etiology*
Chronic Disease
Combined Modality Therapy
Middle Aged
Osteomyelitis / complications*,  microbiology,  radiography,  therapy
Retrospective Studies
Tomography, X-Ray Computed
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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