Gout: radiographic findings mimicking infection
| Autor: | Anne Saint-Pierre, Ethan M. Braunstein, Isabelle Rousseau, C. Germain Beauregard, Danielle Raymond-Tremblay, Étienne Cardinal |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Time Factors Gout medicine.medical_treatment Arthritis Diagnosis Differential Arthropathy medicine Humans Radiology Nuclear Medicine and imaging Hyperuricemia Aged Aged 80 and over Arthritis Infectious business.industry Arthritis Gouty Osteomyelitis Middle Aged medicine.disease Radiography Amputation Acute Disease Septic arthritis Female Radiology Osteitis business Follow-Up Studies |
| Zdroj: | Skeletal radiology. 30(10) |
| ISSN: | 0364-2348 |
| Popis: | To describe radiographic features of gout that may mimic infection. We report five patients with acute bacterial gout who presented with clinical as well as radiological findings mimicking acute bacterial septic arthritis or osteomyelitis. Three patients had delay in the appropriate treatment with the final diagnosis being established after needle aspiration and identification of urate crystals under polarized light microscopy. Two patients underwent digit amputation for not responding to antibiotic treatment and had histological findings confirming the diagnosis of gout. It is important for the radiologist to be aware of the radiological manifestations of acute gout that can resemble infection in order to avoid inappropriate diagnosis and delay in adequate treatment. The definitive diagnosis should rely on needle aspiration and a specific search for urate crystals. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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