scholarly journals Septic arthritis of ankle joint in the paediatric age group: a retrospective study

Author(s):  
Nasiur Rehman ◽  
Marcin Zgoda ◽  
Mohamed K. Osman

<p class="abstract"><strong>Background:</strong> Septic arthritis in paediatric age group poses a significant clinical problem. Common sites are hip and knee joint. There are several orthopaedic literatures available on septic arthritis of the hip and knee joint, however, literature on epidemiology, causative organisms and outcome of septic arthritis of the ankle are very few.</p><p class="abstract"><strong>Methods:</strong> We conducted a retrospective study at a tertiary hospital with an aim to evaluate the incidence, causative pathogen, outcome and to identify differences, if any, between clinical features and laboratory findings of these patients when compared to those with hip and knee joint infection.<strong></strong></p><p class="abstract"><strong>Results:</strong> 47 children were diagnosed with septic arthritis, of which, 14 had septic arthritis of the ankle. Mean age was 5.2 years (8 months - 12 years). 13 children had undergone joint aspiration as a primary procedure. 50% (7) children had positive culture. <em>Streptococcus pyogenes</em> was the commonest causative organism in our cohort (29%) followed by <em>Staphylococcus aureus</em>. Mean follow-up was 36 months (16 - 56 months). 13 children (93%) had good clinical outcome. 1 child developed early arthritis.</p><p class="abstract"><strong>Conclusions:</strong> Septic arthritis of the ankle is a serious condition. Even-though the joint is superficial, diagnosing it clinically can be difficult due to less pronounced symptoms. This can lead to delay in establishing the diagnosis and commencing treatment, hence, it is imperative to have a high index of suspicion. We found early joint aspiration followed by a course of antibiotics to be an effective regimen in management of this devastating condition.</p>

2013 ◽  
Vol 7 (2) ◽  
pp. 27-28
Author(s):  
GT Tay ◽  
M Ashik ◽  
B Tow ◽  
Kevin BL Lim

Author(s):  
Dinesh Jain ◽  
Manmohan Singh ◽  
Sandeep Budhiraja ◽  
Bansidhar Tarai ◽  
Sukanya Ghildiyal

The objective of the study is to understand the seasonal variation in influenza incidence across multiple Indian states by using diagnostic laboratories data of influenza. Materials and Methods: Diagnostic laboratory-based data of subjects who were tested for influenza between 1st January April 2014 to December 2017 across seven Indian states were analysed. In diagnostic laboratories of Maharashtra, Delhi, Uttar Pradesh, Haryana, and Rajasthan RT-PCR was used for detection of H1N1 and laboratories of Tamil Nadu used GeneXpert along with RT-PCR. A total sample size of 10,755 was used in the descriptive observational retrospective study. Results: In case of H1N1, sample population had almost equal male and female proportion (5172) with 36.5 years mean age. In majority of states, >3-5 years age group had the highest positivity rate. Paediatric age group (0-18 years) contributed 25% of total H1N1 burden, while older adults (>60 years) contributed 15% of the total sample. The yearly trends showed a higher incidence rate of H1N1 in 2015, followed by a decline during 2016 and a surge in 2017. Monthly trends showed consistent rise in H1N1 positivity rate during early months (January, February, and March) of 2015, 2016 and 2017. For influenza B, paediatric age group (0-18 years) showed the highest positivity rate and contributed almost 40% of total influenza ‘B’ burden. Conclusion: This study highlights the importance of big data-based analytics and its use in understanding the epidemiological behaviour of diseases like influenza. Insight by leveraging laboratories data, like in the case of current research study, gives demographic patterns of influenza in terms of age, gender, seasons, and regions/states.


2022 ◽  
Vol 8 (4) ◽  
pp. 176-180
Author(s):  
Ranjana Hawaldar ◽  
Sadhna Sodani ◽  
Varsha Sodani ◽  
R K Sodani

It is said that children are less affected by SARSCoV2 infection because of their young immune system, so they have relatively milder symptoms as compared to adults. So the true incidence of SARSCoV2 is not known in this age group. Serosurveys in the paediatric age group can give a much better estimate of the incidence of SARSCoV2 infection in asymptomatic and symptomatic childrenThe present study was undertaken to study the seroprevalence of SARSCoV2 antibodies in children below 18 years of age, by measuring the S1RBD domain of spike protein neutralizing IgG antibody levels.This was a retrospective study carried out from August 2020 to August 2021 in a private diagnostic centre of Central India. 539 children of both genders from newborn babies upto 18 years of age were included in the study. US FDA Emergency Use Authorized [EUA], Atellica Solution SARS-CoV-2 IgG assay that detects anti S1-RBD antibodies including neutralizing IgG against SARS-CoV-2 was used for antibody estimation. Antibody level ≥1 was termed reactive or seropositive and below 1 were considered to be non reactive or seroneagtive There were 321 males and 218 females with a male to female ratio of 1.47 :1. 57% male children were seropositive while 61.9% female children showed seropositivity with an overall positivity rate of 58.99%.The findings of our study suggest that chidren below 5 years and adolescents exhibit higher antibody responses as compared to children between 5-10 years of age. The results of our study would be of help in formulating surveillance and vaccination strategies for children and in implementing public safety guidelines.


2021 ◽  
pp. 165-168
Author(s):  
Debraj Saha ◽  
Sweta Sweta ◽  
Anand Dugad

Background-Facial Burns in the paediatric Populations are very common in our society. Facial burns in paediatric age group are usually caused due to accidental spillage and scalding by hot liquids. These burns are usually partial thickness in nature.Collagen dressing have a better outcome in the management of partial thickness facial burns. Wound healing is important with the aim to minimize the deformity and a cosmetically acceptable scar. Methodology- Thirty patients 3-12 years of age were included in a retrospective study from September 2017 to September 2018.All patients were analyzed in terms of age and sex, Type of burn, duration of presentation, degree and percentage of burns, complications, cosmetic outcome. Mean age of presentation 5.7yr. Ninety-six percent of childre Result- n had burns secondary to scalding. Dry collagen sheet applied to all 30 patients. Ninety-three percent patients had satisfactory healing in 10 days. Ninety percent patients experienced no pain with collagen in situ. Ten percent patients had minor complications where all patients were very comfortable with collagen dressing. Collagen dressing is very useful in rst and Conclusion- supercial second degree facial burns in paediatric populations. It is well tolerated, provides multiple benets, and it has fewer complications and excellent cosmetic outcome as our study showed.


2020 ◽  
pp. 1-2
Author(s):  
Angelin Mersha ◽  
Venkatachalam. K ◽  
Arun Kumar C ◽  
Vibishek Raj . P

Genu valgum or "knock knees" are deformities of the lower limb that occur in the coronal plane.[1] Though most patients are asymptomatic and are fully functional, these conditions are sometimes indicated by a flat feet and medial aspect of foot and knee pain. The normal alignment of the knee joint is at a minimal valgus position ,attained at around 7 years of age, giving the knee the stability required for mobilization. However, in the paediatric age group, the alignment of the knee joint changes from physiological genu valgum by 2 years to varus at about 7 years of age.[2]


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