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Pyomyositis associated with abscess formation caused by streptococcus pneumoniae in children: a case report and review of literature
ConclusionPyomyositis associate with abscess is a rare and very dangerous disease in children. The clinical presentation can mimic symptoms of other pathologies like osteomyelitis or septic arthritis, so many times is hard to identify. The main risk factors include story of recent trauma and immunodeficiency, not present in our case report. The therapy involves the antibiotics and, if possible, abscess drainage. In literature there is much discussion about duration of antibiotic therapy.
Source: Italian Journal of Pediatrics - June 14, 2023 Category: Pediatrics Source Type: research

Clinical pointers in Prevotella septic arthritis of the hip:   a case report
ConclusionA high index of suspicion for Prevotella Septic Arthritis (PSA) should be exercised when treating infective arthritis patients with background joint arthropathies, and intravenous drug abuse, especially in individuals with significant immunosuppression and/or recent tooth extraction. Fortunately, although rare an entity, good outcomes can be expected with early diagnosis and classic treatment principles of joint decompression and lavage as well as guided antibiotic therapy.
Source: Journal of Medical Case Reports - June 10, 2023 Category: General Medicine Source Type: research

Serious spondylodiscitis, septic sacroiliitis and multiple abscesses after ozone therapy for low back pain: A case report on good response to combined treatment with empiric antibiotic and neridronate
AbstractOzone therapy is a minimally invasive technique now widely used for the treatment of pain due to herniated discs. In literature there are conflicting results concerning its real effectiveness and few data about its possible complications. In this case report we present a case of spondylodiscitis, septic arthritis and gluteal abscess following the execution of 4 sessions of ozone therapy. Given the impossibility of isolating the etiological agent, an empirical antibiotic therapy with an overall duration of 6  weeks was set up, initially with daptomycin and ceftriazone, to which was added after 2 days metronidazo...
Source: International Journal of Rheumatic Diseases - February 23, 2023 Category: Rheumatology Authors: Francesca Erroi, Cinzia Rotondo, Stefania Sciacca, Antonello Trotta, Francesco Paolo Cantatore, Addolorata Corrado Tags: CASE REPORT Source Type: research

Septic arthritis of the hand: From etiopathogenesis to surgical treatment
CONCLUSION: The delay in treatment of patients with septic arthritis of the hand was accompanied by a high incidence of osteomyelitis, especially in the presence of diabetes mellitus. Urgent surgical treatment, along with continued irrigation of the joint and antibiotic therapy, made it possible to eliminate the infection, and early rehabilitation restored the range of motion. The best results were noted in patients without osteomyelitis. With the development of osteomyelitis, a complex of early rehabilitation measures also made it possible to partially restore the range of motion due to the formation of neoarthrosis, with...
Source: World Journal of Orthopaedics - November 28, 2022 Category: Orthopaedics Authors: Konstantin V Lipatov Arthur Asatryan George Melkonyan Aleksandr D Kazantcev Ekaterina I Solov'eva Irina V Gorbacheva Alexander S Vorotyntsev Andrey Y Emelyanov Source Type: research

Eosinopenia to differentiate crystal-induced and septic arthritis
Septic and crystal-induced arthritis (related to calcium pyrophosphate deposition disease or gout) are the two main causes of acute knee arthritis. The features of septic and crystal-induced arthritis are very similar, with a high level of acute pain, sharp inflammatory syndrome and occasionally fever, so the differential diagnosis is difficult.1 2 Pyogenic septic arthritis of the knees is associated with high mortality and morbidity and is considered a medical emergency.3 In case of severe sepsis, probabilistic antibiotic therapy and close monitoring are recommended.4 Gram staining and culture of synovial fluid (SF) are t...
Source: Annals of the Rheumatic Diseases - July 12, 2022 Category: Rheumatology Authors: Vigouroux, A., Ostertag, A., Cremieux, A.-C., Bardin, T., Latourte, A., Ea, H.-K., Richette, P. Tags: ARD Letter Source Type: research

Septic Arthritis of the Temporomandibular Joint with Intracranial Extension: A Case Report
We present a case of septic arthritis of the left TMJ in an 18-year-old man who was initially referred as a suspected TMJ dislocation. He had a 3-day history of pain, trismus and malocclusion with left preauricular swelling and became clinically septic with a positive blood culture containingFusobacterium necrophorum. Computed tomography revealed left TMJ effusion. A later scan showed evidence of a temporal space collection and development of an intracranial extension in the left middle cranial fossa. The patient underwent needle arthrocentesis and drainage, followed by six weeks of antibiotic therapy following advice from...
Source: Journal of Maxillofacial and Oral Surgery - March 1, 2022 Category: ENT & OMF Source Type: research

Septic Arthritis: Diagnosis and Treatment
Am Fam Physician. 2021 Dec 1;104(6):589-597.ABSTRACTSeptic arthritis must be considered and promptly diagnosed in any patient presenting with acute atraumatic joint pain, swelling, and fever. Risk factors for septic arthritis include age older than 80 years, diabetes mellitus, rheumatoid arthritis, recent joint surgery, hip or knee prosthesis, skin infection, and immunosuppressive medication use. A delay in diagnosis and treatment can result in permanent morbidity and mortality. Physical examination findings and serum markers, including erythrocyte sedimentation rate and C-reactive protein, are helpful in the diagnosis but...
Source: American Family Physician - December 16, 2021 Category: Primary Care Authors: John Scott Earwood Tyler R Walker Gregory J C Sue Source Type: research

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