Wrist inflammation: a retrospective comparison between septic and non-septic arthritis.
| Autor: | Kang G; Singapore General Hospital, Singapore., Leow MQH; Singapore General Hospital, Singapore., Tay SC; Singapore General Hospital, Singapore. |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of hand surgery, European volume [J Hand Surg Eur Vol] 2018 May; Vol. 43 (4), pp. 431-437. Date of Electronic Publication: 2017 Dec 03. |
| DOI: | 10.1177/1753193417738166 |
| Abstrakt: | This study aims to identify differences in demographics, clinical and laboratory data between wrist septic arthritis and non-septic arthritis in patients admitted for wrist inflammation. A retrospective review of inpatients from May 2012 to April 2015 was conducted. Seventy-seven patients were included. Non-septic arthritis patients were more likely to have chronic kidney disease, pre-existing gout, or both. All septic arthritis patients had normal serum uric acid levels, and two or more raised inflammatory markers (white cell count, C-reactive protein, erythrocyte sedimentation rate). In patients with isolated wrist inflammation, the mean C-reactive protein in the septic arthritis group was significantly higher compared with the non-septic arthritis group (mean difference 132 mg/L, 95% CI 30.9-234). In this study, polyarticular involvement did not exclude a septic cause; nor did it imply a non-septic aetiology. Diabetic or immunosuppressed patients were not more likely to develop septic arthritis. The presence of chondrocalcinosis on wrist radiographs was virtually diagnostic of non-septic arthritis. Level of Evidence: IV. |
| Databáze: | MEDLINE |
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