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Author Ungprasert, Patompong ♦ Kaewpoowat, Quanhathai ♦ Ratapano, Supawat ♦ Srivali, Narat ♦ Bischof, Edward F.
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher Elsevier
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Natural sciences & mathematics ♦ Life sciences; biology ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Human anatomy, cytology, histology ♦ Diseases ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Musculoskeletal System ♦ Anatomy ♦ Eukaryota ♦ Organisms ♦ Bacterial Infections and Mycoses ♦ Musculoskeletal Diseases ♦ Diseases ♦ Diagnosis ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Persons ♦ Persons
Subject Keyword Discipline Emergency ♦ Discipline Medicine ♦ Ankle Joint ♦ Arthritis, Infectious ♦ Diagnosis ♦ Chondrocalcinosis ♦ Staphylococcal Infections ♦ Aged, 80 And Over ♦ Microbiology ♦ Pathology ♦ Complications ♦ Diagnosis, Differential ♦ Female ♦ Humans ♦ Synovial Fluid ♦ Chemistry ♦ Case Reports ♦ Journal Article
Abstract Acute monoarthritis is one of the most common rheumatologic presentations. However, it is clinically difficult to distinguish between an inflamed joint due to crystal-induced arthritis and an inflamed joint due to septic arthritis. Arthrocentesis and synovial fluid analysis are used to differentiate between these 2 conditions. The presence of crystals and positive synovial fluid culture confirm the diagnosis of crystal-induced arthritis and septic arthritis, respectively. Although uncommon, these 2 arthritides can coexist, and presence of crystal does not exclude bacterial arthritis. We reported a case of 85-year-old woman whose synovial fluid contained crystals and was initially diagnosed with crystal-induced arthritis. However, her joint fluid culture subsequently grew Staphylococcus aureus, and she was treated with arthroscopic debridement and antibiotics.
Description Country affiliation: United States
Author Affiliation: Ungprasert P ( Department of Internal Medicine, Bassett Medical Center and Columbia University College of Physicians and Surgeons, Cooperstown, NY 13326, USA. Patompong.Ungprasert@bassett.org)
ISSN 07356757
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article ♦ Case study
Publisher Date 2013-02-01
Publisher Place United States
e-ISSN 15328171
Journal The American Journal of Emergency Medicine
Volume Number 31
Issue Number 2


Source: WHO-Global Index Medicus