scholarly journals Monoarticular Hip Involvement in Pseudogout

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Figen Kocyigit ◽  
Ersin Kuyucu ◽  
Ali Kocyigit
Keyword(s):  
Rheumatoid Arthritis ◽  
Surgical Treatment ◽  
Soft Tissue ◽  
Synovial Fluid ◽  
Biochemical Analysis ◽  
Medical Condition ◽  
Clinical Manifestations ◽  
The Elderly ◽  
Fluid Analysis ◽  
Soft Tissue Abscess

Pseudogout is the acutest form of arthritis in the elderly. Although clinical manifestations vary widely, polyarticular involvement is typical mimicking osteoarthritis or rheumatoid arthritis. Monoarticular involvement is relatively rare and is generally provoked by another medical condition. There are reported cases of hip involvement by pseudogout in monoarticular form. However, all of the cases were presented as septic arthritis. In this report, we present a case of monoarticular hip involvement mimicking soft tissue abscess. We confirmed the pseudogout diagnosis after ultrasonographic evaluation of the involved hip joint and pathological and biochemical analysis of synovial fluid analysis. Diagnosis is important to avoid unnecessary medical and surgical treatment in cases of the bizarre involvement of hip in pseudogout.

scholarly journals Melioidosis of the Musculoskeletal System

2019 ◽  
Vol 29 (2) ◽  
pp. 121-127 ◽  
Author(s):  
Rajamani Perumal ◽  
Abel Livingston ◽  
Sumant Samuel ◽  
Santhosh Kumar Govindaraju
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Septic Arthritis ◽  
Musculoskeletal System ◽  
Medical Management ◽  
Clinical Presentation ◽  
Treatment Modalities ◽  
Soft Tissue Abscess ◽  
Musculoskeletal Involvement

Objective: Recent studies indicate that India is an endemic region for Burkholderia pseudomallei infection. We aimed to describe the clinical presentation of B. pseudomallei infection of the musculoskeletal system and summarise the various treatment modalities used in our clinical practice. Subjects and Methods: Patients with confirmed microbiological diagnosis of B. pseudomallei infection involving the musculoskeletal system treated from January 2007 to December 2016 with a minimum follow-up of 1 year were included. A retrospective review of medical records was carried out and patients’ demographic data, co-morbidities, clinical presentation, and details of medical and surgical treatment were documented. Results: Of 342 patients diagnosed with B. pseudomallei infection, 37 (9.2%) had musculoskeletal involvement; 26 patients (23 males) followed up for at least a year were included in the study. Four patients (15%) had multisystem involvement and 10 (37%) had multiple musculoskeletal foci of infection; 15 patients (58%) had osteomyelitis, 10 (38%) had septic arthritis with or without osteomyelitis, and 1 patient (4%) presented with only soft tissue abscess. All patients required surgical intervention in addition to medical management. Surgical treatment varied from soft tissue abscess drainage, arthrotomy for septic arthritis, decompression and curettage for osteomyelitis, and/or use of antibiotic (meropenem or ceftazidime)-loaded polymethylmethacrylate bone cement for local drug delivery. At final follow-up (average: 37 months, range: 12–120), all patients were disease free. Conclusion: We found the rate of musculoskeletal involvement in B. pseudomallei infection to be 9.2%. Appropriate surgical treatment in addition to medical management resulted in resolution of disease in all our patients.

Prognostic Significance of Synovial Fluid Analysis in Rheumatoid Arthritis

1989 ◽  
Vol 21 (4) ◽  
pp. 269-271 ◽  
Author(s):  
Reijo Luukkainen ◽  
Kalevi Kaarela ◽  
Heini Huhtala ◽  
Kalevi Auerma ◽  
Riitta Merilahti-palo
Keyword(s):  
Rheumatoid Arthritis ◽  
Synovial Fluid ◽  
Prognostic Significance ◽  
Fluid Analysis ◽  
Synovial Fluid Analysis

scholarly journals Rat bite fever due to Streptobacillus notomytis complicated by meningitis and spondylodiscitis: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Suchada Pongsuttiyakorn ◽  
Witchuda Kamolvit ◽  
Sunee Limsrivanichakorn ◽  
Arissa Phothisirisakulwong ◽  
Walaiporn Wangchinda
Keyword(s):  
Rheumatoid Arthritis ◽  
Polymerase Chain Reaction Amplification ◽  
Clinical Manifestations ◽  
Complete Recovery ◽  
The Elderly ◽  
Knee Joints ◽  
Rrna Gene ◽  
Tertiary Referral Center ◽  
First Case ◽  
Rat Bite Fever

Abstract Background Only three other cases of rat bite fever caused by Streptobacillus notomytis in humans have been reported since this species was identified in 2015. Data specific to the differences in clinical features and geographic distribution between S. notomytis infection and S. moniliformis infection are scarce. All previous cases of human S. notomytis infection were reported from Japan. This is the first case of S. notomytis infection reported from outside of Japan. Case presentation A 72-year-old Thai woman was admitted to Siriraj Hospital (Bangkok, Thailand)—Thailand’s largest university-based national tertiary referral center—in August 2020 with fever, myalgia, and polyarthralgia for 3 days, and gradually decreased consciousness for the past 1 day. Physical examination and laboratory investigations revealed septic arthritis of both knee joints, meningitis, and hepatitis. She was initially misdiagnosed as rheumatoid arthritis in the elderly since the initial investigations were unable to detect a causative pathogen. However, S. notomytis infection was later confirmed by polymerase chain reaction amplification of a part of the 16S rRNA gene and sequencing from synovial fluid. Her clinical course was also complicated by spondylodiscitis and epidural abscess caused by S. notomytis, which was detected from tissue biopsy. Therefore, rat bite fever in this patient manifested as meningitis, septic polyarthritis, hepatitis, and spondylodiscitis. The patient was treated with intravenous ceftriaxone then switched to oral amoxicillin with complete recovery. Conclusions The clinical manifestations of S. notomytis infection are similar to those demonstrated in S. moniliformis infection. This case also showed that arthritis caused by S. notomytis mimics rheumatoid arthritis, and that meningitis and spondylodiscitis are potential coexisting complications that can be found in S. notomytis infection.

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