scholarly journals Septic arthritis is a mimicker of rheumatic fever

Mediscope ◽  
2018 ◽  
Vol 6 (1) ◽  
pp. 41-43
Author(s):  
KZ Hossain ◽  
MN Islam
Keyword(s):  
Soft Tissue ◽  
Physical Examination ◽  
Septic Arthritis ◽  
Acute Inflammation ◽  
Plain Radiograph ◽  
Knee Joints ◽  
Fluid Accumulation ◽  
Laboratory Findings ◽  
Soft Tissue Swelling ◽  
History Of

Septic arthritis is an uncommon form of arthritis in children. A five years old boy presented with pain and swelling of both knee joints for 7 days. His joints swellings were disproportionate to pain. He had no history of trauma to the joints. On examination, there was soft tissue swelling of both knee joints. Investigation showed features of acute inflammation. Plain radiograph showed soft tissue swelling. Ultrasonography showed fluid accumulation in joints space. After 7 days of antistaphylococcal therapy, the child improved significantly. Physicians treating the children need to be aware of taking proper history and doing physical examination and checking laboratory findings of the children with septic arthritis for appropriate case management. Mediscope Vol. 6, No. 1: Jan 2019, Page 41-43

Stress Fractures in Royal Marine Recruits

1970 ◽  
Vol 56 (1) ◽  
pp. 78-91
Author(s):  
J. Bertram
Keyword(s):  
Soft Tissue ◽  
Weight Bearing ◽  
Fracture Site ◽  
Stress Fractures ◽  
Vigorous Activity ◽  
Main Symptom ◽  
Soft Tissue Swelling ◽  
History Of ◽  
Radiological Changes

AbstractThe main features of stress fractures in Royal Marine recruits are that they occur in normal bones, most often those that are weight bearing. There is no history of injury, but there is usually a history of unaccustomed or more vigorous activity for some weeks before onset. The main symptom is pain on use of the affected part and this pain is relieved by rest. Localised tenderness and soft tissue swelling are present at the fracture site when the affected bone is readily palpable. Radiological changes are absent in the first seven to ten days, but become visible within two months, unless treatment starts or stress ceases early.

scholarly journals Herpes Zoster pada Anak – Laporan Kasus

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Thigita A. Pandaleke ◽  
Herry E. J. Pandaleke ◽  
Ratna I. Susanti ◽  
Julieta D. P. Dotulong
Keyword(s):  
Herpes Zoster ◽  
Physical Examination ◽  
Primary Infection ◽  
Giant Cells ◽  
Lumbar Region ◽  
Sensory Ganglia ◽  
Laboratory Findings ◽  
Varicella Zoster ◽  
History Of ◽  
The Right

Abstract: Herpes zoster (HZ) is an acute vesicular eruption caused by latent varicella zoster virus (VVZ) reactivation in sensory ganglia after primary infection. Its incidence increases with age and it is rarely found in children. We reported a case of 10-year-old male with blisters on the right side of his stomach and back 3 days ago. The patient was suffered from fever, common cold, and cough a week before, and had a history of varicella at 5 years old. Dermatologic status showed multiple vesicles on erythematous base at the anterior dan posterior sides of his right lumbar region. The Tzank test showed multinucletaed giant cells. Acyclovir resulted in significant improvement after 7- day therapy. Conclusion: Diagnosis of herpes zoster was based on anamnesis, physical examination, and laboratory findings. Antiviral drugs was aimed to reduce complications and viral shedding.Keywords: Herpes zoster, childAbstrak: Herpes zoster (HZ) merupakan erupsi vesikuler akut yang disebabkan oleh reaktivasi dari virus varisela zoster (VVZ) laten pada ganglia sensoris yang sebelumnya terpajan dengan infeksi primer varisela. Insiden HZ meningkat seiring pertambahan usia dan jarang ditemukan pada anak-anak. Kami melaporkan kasus seorang anak laki-laki, 10 tahun, dengan bintil-bintil berair di perut dan punggung sebelah kanan sejak 3 hari lalu. Riwayat demam, batuk dan pilek 1 minggu sebelum timbul lesi. Riwayat varisela pada usia 5 tahun. Status dermatologis ditemukan vesikel multipel berisi cairan jernih yang tersusun bergerombol di atas kulit yang eritema di regio lumbar dekstra anterior dan posterior. Tes Tzank memperlihatkan sel raksasa berinti banyak. Pasien diterapi dengan asiklovir oral selama 7 hari dan menunjukkan perbaikan yang bermakna. Simpulan: Anamnesis, pemeriksaan fisik, dan pemeriksaan penunjang kasus ini khas untuk herpes zoster. Pemberian obat antiviral bertujuan untuk mengurangi komplikasi dan menurunkan viral shedding.Kata kunci: herpes zoster, anak

scholarly journals Carpometacarpal Dislocation with Third Metacarpal Fracture

2021 ◽  
Vol 5 (4) ◽  
pp. 488-490
Author(s):  
Colin Jorgensen ◽  
Steve Christos
Keyword(s):  
Soft Tissue ◽  
Plain Radiograph ◽  
Wrist Injuries ◽  
Rare Injury ◽  
Case Presentation ◽  
Metacarpal Fractures ◽  
Soft Tissue Swelling ◽  
Force Impact ◽  
The Right ◽  
Anterior Posterior

Case Presentation: A 17-year-old male presented to the emergency department (ED) due to trauma to the right hand and wrist after punching a locker at school. He had significant soft tissue swelling. Radiographs demonstrated intra-articular metacarpal fractures with associated carpometacarpal dislocations. The dislocation was reduced bedside in the ED and ultimately underwent closed reduction surgical management with orthopedic surgery. Discussion: Metacarpal fractures result from high-force impact injuries and account for 30-40% of all hand injuries. The most common sites of second through fifth metacarpal fractures are at the neck and the shaft, with the majority involving the fifth metacarpal neck (commonly coined “boxer’s fractures”). Carpometacarpal (CMC) dislocations are a rare injury associated with high-force impact trauma to the wrist. These injuries account for as little as 1% of all acute hand and wrist injuries. Carpometacarpal dislocations are often difficult to diagnose on physical examination due to significant soft tissue swelling, and they can easily be missed on anterior-posterior views of the hand. Lateral and oblique plain radiograph views are essential in the diagnosis as they are more likely to show dislocations. Despite appropriate plain radiographic views, subtle CMC dislocations may be difficult to discern dependent on the level of dislocation or subluxation and overlapping of joints. These injuries are rare due to otherwise highly stable ligamentous and muscular attachments within the wrist. Because of these attachments, dislocations are often associated with concomitant metacarpal fractures.

Hand-foot lesion in old age asthmatic women

2015 ◽  
Vol 3 (1) ◽  
pp. 314-317
Keyword(s):  
Oral Cavity ◽  
Physical Examination ◽  
Old Age ◽  
Past History ◽  
Laboratory Findings ◽  
Normal Limits ◽  
History Of ◽  
Complete Blood Counts

papulovesicular eruption on the hands which had begun to appear on the palms of her hands 2 days previously and which progressed to the soles, and dorsum of the feet. He had past history of asthma for more than 30-years and was taking bronchodilator and steroid medications. Physical examination revealed multiple erythematous papules on the palms, soles. The oral cavity and other areas such as face and trunk were spared. Laboratory findings, including complete blood counts and blood chemistries, were within normal limits. After 3 1/2 weeks he was commenced on oral aciclovir 200 mg five times daily, with subsequent resolution of all lesions within 5 days.

Cutaneous Paecilomycosis in a Cat

2003 ◽  
Vol 39 (6) ◽  
pp. 543-546 ◽  
Author(s):  
Edmund J. Rosser
Keyword(s):  
Body Weight ◽  
Soft Tissue ◽  
Bacterial Culture ◽  
Histopathological Examination ◽  
Fungal Culture ◽  
Upper Lip ◽  
Soft Tissue Swelling ◽  
History Of ◽  
Aerobic And Anaerobic ◽  
Surgical Excisions

A cat was presented for a 2-year history of a recurrent, soft-tissue swelling of the left metacarpal region. The mass was excised and submitted for aerobic and anaerobic bacterial culture, fungal culture, and histopathological examination. Cultures revealed the organism Paecilomyces lilacinus, and histopathological examination showed a nodular mycotic granuloma. Itraconazole (10 mg/kg body weight, per os [PO], q 24 hours) was administered and continued for a total of 60 days, with a swelling of the upper lip occurring 3 months after the initial presentation. Subsequent surgical excisions and debridements along with treatment with itraconazole (20 mg/kg body weight, PO, q 24 hours) for a total of 4 months were curative.

scholarly journals Extraosseous Ewing sarcoma presenting as recurrent intergluteal pilonidal disease

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Marisa A. Sewell ◽  
Frieda M. Hulka ◽  
Jacob P. Zucker
Keyword(s):  
Risk Factors ◽  
Soft Tissue ◽  
Ewing Sarcoma ◽  
Pilonidal Disease ◽  
Treatment Options ◽  
Incision And Drainage ◽  
Soft Tissue Swelling ◽  
History Of ◽  
Pilonidal Abscess ◽  
Extraosseous Ewing Sarcoma

Abstract Background Pilonidal disease classically presents as an abscess or soft tissue swelling which classically occurs in the intergluteal cleft, just above the anus. Risk factors for this disease include obesity, prolonged sitting, and abundance of gluteal hair. Treatment options are extensive but most often include incision and drainage with antibiotic treatment. Presentation of recurrent intergluteal pilonidal disease in a young, active female would then be unusual. We present a case of a 17-year-old female presenting with what appeared to be intergluteal pilonidal disease. Definitive excision with histopathology revealed a diagnosis of extraosseous Ewing sarcoma. Case presentation An otherwise healthy and active 17-year-old female presented to our Pediatric Oncology clinic with a 2-month history of recurrent painful soft tissue swelling of the intergluteal cleft. At that time, she had been diagnosed with pilonidal abscess and had already undergone three incision and drainage procedures. A definitive excision with pathology was performed within weeks of her initial presentation. Immunohistochemical evaluation confirmed a diagnosis of extraosseous Ewing sarcoma. Conclusion This unusual case underlies the importance of considering a broad differential when evaluating potential pilonidal abscess in a patient who otherwise has no risk factors. Additionally, definitive excision with pathology is critical in a patient with unusually recurrent disease as this can be crucial in the identification of an alternative, and potentially devastating, diagnosis.

What Is the Optimal Management of Patients With Prior Septic Arthritis of the Ankle Who Are Undergoing Total Ankle Arthroplasty (TAA)?

2019 ◽  
Vol 40 (1_suppl) ◽  
pp. 9S-10S
Author(s):  
Brian Winters ◽  
Ferdinando Da Rin de Lorenzo ◽  
Jake O’Neil
Keyword(s):  
Soft Tissue ◽  
Physical Examination ◽  
Septic Arthritis ◽  
Soft Tissues ◽  
Total Ankle Arthroplasty ◽  
Optimal Management ◽  
Level Of Evidence ◽  
Ankle Arthroplasty ◽  
Serologic Tests ◽  
Prior Infection

Recommendation: There is a paucity of data regarding total ankle arthroplasty (TAA) in patients with prior infection involving the ankle, whether it be septic arthritis, osteomyelitis, or infection of the surrounding soft tissues. We recommend that patients with prior infections in the affected ankle be worked up for infection, including a thorough history and physical examination, as well as ordering serologic tests and possible aspiration of the joint. During ankle arthroplasty in patients with prior infection, antibiotics should be added to the cement (if used), and the joint should be thoroughly cleansed. Intraoperative cultures of bone and soft tissue should also be obtained. Level of Evidence: Consensus. Delegate Vote: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus)

scholarly journals A Case of PolyarticularPasteurella multocidaSeptic Arthritis

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Sarah Nitoslawski ◽  
Todd M. McConnell ◽  
Makeda Semret ◽  
Michael A. Stein
Keyword(s):  
Synovial Fluid ◽  
Physical Examination ◽  
Septic Arthritis ◽  
Pasteurella Multocida ◽  
Invasive Potential ◽  
Immunocompetent Individual ◽  
Frequent Contact ◽  
Animal Contact ◽  
History Of ◽  
Fluid Cell

A 76-year-old man with a history of osteoarthritis presents with right leg erythema and inability to weight-bear and pain in his right shoulder. Synovial fluid cell count of the knee and shoulder showed abundant neutrophils, and cultures of the knee showed growth ofPasteurella multocida. The patient owned four cats with which he had frequent contact, but history and physical examination elicited no evidence of scratches or bites. This case highlights the invasive potential ofPasteurella multocidain an immunocompetent individual and its capacity to cause septic arthritis in the setting of frequent animal contact.

Use of computed tomography in the diagnosis of caecal inversion in a dog and a cat

2019 ◽  
Vol 7 (2) ◽  
pp. e000839
Author(s):  
William Bertram Phipps ◽  
Jeremy Raphael Mortier ◽  
Malcolm Booth ◽  
Matteo Rossanese
Keyword(s):  
Rectal Prolapse ◽  
Physical Examination ◽  
Gastrointestinal Disease ◽  
Abdominal Mass ◽  
Small Animal ◽  
Exploratory Laparotomy ◽  
Chronic Diarrhoea ◽  
Abdominal Ct ◽  
Laboratory Findings ◽  
History Of

Case 1: A nine-month-old entire male beagle presented with a history of chronic diarrhoea, intermittent haematochezia and rectal prolapse. An exploratory laparotomy performed prior to presentation reported visualisation of a suspected caecocolic intussusception. Physical examination revealed a non-painful, mid-abdominal mass and laboratory findings were consistent with non-specific gastrointestinal disease. Abdominal CT identified intraluminal inversion of the caecum into the ascending colon. Intraoperatively, the inversion was unreducible and a colotomy followed by stapled typhlectomy was performed.Case 2: An eight-year-old neutered male domestic shorthair presented with a history of chronic haematochezia and intermittent partial rectal prolapse. Physical examination and laboratory findings were unremarkable. Abdominal CT revealed a caecal inversion. A midline coeliotomy followed by manual correction of the inversion and a stapled typhlectomy were performed.In both animals, CT allowed an accurate diagnosis and appropriate management of caecal inversion, a rarely reported small animal large intestinal disease.

Haemophilus influenzae Type b Septic Arthritis in Children: Report of 23 Cases

PEDIATRICS ◽  
1985 ◽  
Vol 75 (2) ◽  
pp. 254-259
Author(s):  
Harley A. Rotbart ◽  
Mary P. Glode
Keyword(s):  
Haemophilus Influenzae ◽  
Septic Arthritis ◽  
Haemophilus Influenzae Type ◽  
Haemophilus Influenzae Type B ◽  
Type B ◽  
Laboratory Findings ◽  
Viral Illness ◽  
History Of ◽  
Joint Examination ◽  
Wbc Count

Twenty-three cases of Haemophilus influenzae type b septic arthritis seen over a recent 5-year period are reviewed. The natural history of the disease includes a mean three days of fever and joint symptoms prior to hospitalization, often accompanied or immediately preceded by a viral illness and/or otitis media. Concurrent H influenzae type B meningitis was present in 30% of patients and concurrent osteomyelitis in 22%. Infants remained febrile in the hospital for a mean of 3.6 consecutive days. However, secondary and prolonged fevers were common. Clinical improvement in the joint examination was first seen at a mean of 2.5 days. Characteristic laboratory findings during recovery included a decline in total WBC count, neutrophil count, ESR, and hematocrit, with a concomitant increase in lymphocyte and platelet counts. Outpatient follow-up for a mean duration of 20 months found only two of 21 infants with residual impairment. The time to total healing in the remaining 19 infants, however, varied widely—from nine days to 17 months (mean of 4 months).

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