Journal article
Presence of crystals is not an evidence of absence of infection
The American journal of emergency medicine, Vol.31(2), pp.455.e1-455.e2
02/01/2013
DOI: 10.1016/j.ajem.2012.07.020
PMID: 22944538
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.
Details
- Title: Subtitle
- Presence of crystals is not an evidence of absence of infection
- Creators
- Patompong Ungprasert - Columbia UniversityQuanhathai Kaewpoowat - Columbia UniversitySupawat Ratapano - Columbia UniversityNarat Srivali - Columbia UniversityEdward F Bischof - Columbia University
- Resource Type
- Journal article
- Publication Details
- The American journal of emergency medicine, Vol.31(2), pp.455.e1-455.e2
- Publisher
- Elsevier Limited
- DOI
- 10.1016/j.ajem.2012.07.020
- PMID
- 22944538
- ISSN
- 0735-6757
- eISSN
- 1532-8171
- Language
- English
- Date published
- 02/01/2013
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984359882202771
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