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Organo Oficial de la Secretaria de Salud de Quintana Roo

2021, Number 45

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Salud Quintana Roo 2021; 14 (45)

Septic arthritis in pediatric patient

Calvo A, Parra PKR, Navarrete FF, Padrón AG

Language: Spanish
References: 26
Page: 37-41
PDF size: 456.34 Kb.


ABSTRACT

Introduction. Septic arthritis is an inflammatory reaction of the joint space caused by colonization of the joint cavity by a microorganism. The most common cause is hematogenous spread. Case report: a 3-month-old male patient who comes to the emergency department of Playa del Carmen General Hospital, Q. Roo for presenting pain and functional disability of the lower left limb, sudden crying, and fever, without an infectious focus. On physical examination, there was an increase in the volume of the hip joint, limitation of the arc of joint movement, flexion, and fever. Palpation with increased local joint temperature. In the laboratories, leukocytosis of 24,300 × 109/L was found, semi-quantitative PCR of 48 mg/L, data of an infectious process. In the emergency ultrasound, joint effusion was detected in the hip. A diagnosis of septic arthritis of the left hip was made and surgical treatment and antibiotics were indicated. Discussion. Septic hip arthritis is an infrequent pathology and its timely diagnosis, as well as the indicated emergency treatment, is the key to the favorable clinical evolution of the patient, the standard treatment is arthrotomy of joint drainage as well as joint washing, empirical antibiotic management, and later oriented to the isolated agent. In this case, the arthrotomy pathway was selected by draining and washing the joint as soon as possible. The arthroscopic route offers greater advantages as it is a minimal access surgery, which meets the objectives of the surgical treatment and preserves the anatomy of the joint.


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