Septic arthritis laboratory findings: Difference between revisions
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{{Septic arthritis}} | {{Septic arthritis}} | ||
{{CMG}}; '''Associate Editor(s)-In-Chief:''' Jumana Nagarwala, M.D., ''Senior Staff Physician, Department of Emergency Medicine, Henry Ford Hospital''; {{CZ}} | {{CMG}}; '''Associate Editor(s)-In-Chief:''' Jumana Nagarwala, M.D., ''Senior Staff Physician, Department of Emergency Medicine, Henry Ford Hospital''; {{CZ}} | ||
==Overview== | ==Overview== | ||
==Laboratory Findings== | |||
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The diagnosis of septic arthritic can be difficult as no test is able to completely rule out the possibility. | The diagnosis of septic arthritic can be difficult as no test is able to completely rule out the possibility. | ||
A number of factors should increase ones suspicion of the presence of an infection. In children these are: [[fever]] > 38.5 C, non weight bearing, serum WCBs > 12 x 10^9, [[ESR]] > 40 mm/hr, [[CRP]] > 20 mg/dL, a previous visit for the same. | |||
A number of factors should increase ones suspicion of the presence of an infection. In children these are: [[fever]] > 38.5 C, non weight bearing, serum WCBs > 12 x 10^9, [[ESR]] > 40 mm/hr, [[CRP]] > 20 mg/dL, a previous visit for the same. | |||
====Joint Fluid Aspiration==== | ====Joint Fluid Aspiration==== | ||
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==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Arthritis]] | |||
[[Category:Medical emergencies]] | |||
[[Category:Signs and symptoms]] | |||
[[Category:Disease]] | [[Category:Disease]] | ||
Revision as of 19:26, 7 November 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Jumana Nagarwala, M.D., Senior Staff Physician, Department of Emergency Medicine, Henry Ford Hospital; Cafer Zorkun, M.D., Ph.D. [2]
Overview
Laboratory Findings
The diagnosis of septic arthritic can be difficult as no test is able to completely rule out the possibility.
A number of factors should increase ones suspicion of the presence of an infection. In children these are: fever > 38.5 C, non weight bearing, serum WCBs > 12 x 10^9, ESR > 40 mm/hr, CRP > 20 mg/dL, a previous visit for the same.
Joint Fluid Aspiration
Diagnosis is by aspiration (giving a turbid, non-viscous fluid), Gram stain and culture of fluid from the joint, as well as tell-tale signs in laboratory testing (such as a highly elevated neutrophils (approx. 90%), ESR or CRP). A proportion of patients with septic arthritis have little in the way of fever or raised ESR, although the CRP is usually raised [1]
Gram Stain
The Gram stain can rule in the diagnosis of septic arthritis however cannot exclude it.[2]
References
- ↑ Geirsson AJ, Statkevicius S, Víkingsson A (2008). "Septic arthritis in Iceland 1990-2002: increasing incidence due to iatrogenic infections". Ann Rheum Dis. 67 (5): 638–43. doi:10.1136/ard.2007.077131. PMID 17901088. Unknown parameter
|month=ignored (help) - ↑ "BestBets: Is a negative gram stain in suspected septic arthritis sufficient to rule out septic arthritis".