Sensitivity of Objective Parameters in the Diagnosis of Pediatric Septic Hips
| Autor: | Carl Barbera, David M. Klein, Scott T. Gray, Gregory Perrier, Joel L. Teicher, Charles R. Spero |
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| Rok vydání: | 1997 |
| Předmět: |
Male
medicine.medical_specialty Sepsis syndrome Arthritis Blood Sedimentation Sensitivity and Specificity Gastroenterology Lower limb Body Temperature Leukocyte Count Internal medicine Arthropathy Humans Medicine Orthopedics and Sports Medicine Child Retrospective Studies Arthritis Infectious medicine.diagnostic_test business.industry Infant Newborn Infant General Medicine medicine.disease Elevated erythrocyte sedimentation rate Surgery Child Preschool Erythrocyte sedimentation rate Female Hip Joint Septic arthritis business Case analysis |
| Zdroj: | Clinical Orthopaedics and Related Research. 338:153-159 |
| ISSN: | 0009-921X |
| DOI: | 10.1097/00003086-199705000-00022 |
| Popis: | This study examines the sensitivity of temperature, leukocyte count, and erythrocyte sedimentation rate in the diagnosis of pediatric septic arthritis of the hip by retrospective case analysis of 26 children, aged 0 to 6 years, in hospitals of central Brooklyn. The average presenting temperature was 38.4 degrees C, with 65% of the patients having had a temperature higher than 38 degrees C. The average leukocyte count was 13,500 per mL, with 73% of patients having a leukocyte count greater than 9000 per ml. The average erythrocyte sedimentation rate (21 cases) was 51 mm per hour, with 95% of the patients presenting with an erythrocyte sedimentation rate greater than 20 mm per hour. Of these children with septic hips, only 5% had a normal erythrocyte sedimentation rate, although 35% had a normal temperature and 27% had a normal leukocyte count. Neonates (age younger than 1 month) were not febrile (average temperature, 36.7 degrees C) and did not have an elevated leukocyte count (average leukocyte count, 9300 per mL) but did have an elevated erythrocyte sedimentation rate (average erythrocyte sedimentation rate, 45 mm per hour). Of these 3 values, erythrocyte sedimentation rate is the most sensitive indicator of septic arthritis of the hip in children 0 to 6 years of age. |
| Databáze: | OpenAIRE |
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