Acta Ortopédica Mexicana

Valerio-Morales IA, Espinosa-Morales R, Sánchez-González A, Cedeño-Garcidueñas AL, Pichardo-Bahena R, Lezama-Peniche M
Pseudoseptic arthritis with foreign body synovitis in a patient with gout
Acta Ortop Mex 2015; 29 (2)

Language: Español
References: 20
Page: 123-126
PDF: 230.08 Kb.

[Fulltext - PDF]

ABSTRACT

Monoarthritis is a diagnostic challenge for the clinician, as the list of associated conditions is quite long. It is accepted that in patients with a diagnosis of inflammatory joint disease monoarthritis represents exacerbation of the underlying disease. However, ignoring the systematized approach to monoarthritides may lead to omissions and mistaken diagnostic implications. This report describes the approach to a case of pseudoseptic arthritis that mimicked an acute episode of recurrent arthritis due to monosodium urate in a patient with retention of an intraarticular foreign body.


Key words: monoarthritis, synovitis, gout, pseudoseptic arthritis.


REFERENCES

  1. Baker DG, Schumacher HR: Acute monoarthritis. N Engl J Med. 1993; 329(14): 1013-20. doi: 10.1056/NEJM199309303291407.

  2. Goldenberg DL: Septic arthritis. Lancet. 1998; 351(9097): 197-202. doi: 10.1016/S0140-6736(97)09522-6.

  3. Morgan DS, Fisher D, Merianos A, Currie BJ: An 18 year clinical review of septic arthritis from tropical Australia. Epidemiol Infect. 1996; 117(3): 423-8.

  4. Ho G Jr: Pseudoseptic arthritis. R I Med [Internet]. 1994 [Accessed August 21, 2013]; 77(1): 7-9.

  5. Razek AA, Fouda NS, Elmetwaley N, Elbogdady E: Sonography of the knee joint(). J Ultrasound. 2009; 12(2): 53-60. doi: 10.1016/j.jus.2009.03.002.

  6. Satoh M, Ajmani AK: Acute exacerbation mimicking “pseudoseptic” arthritis in rheumatoid arthritis could be caused by abrupt discontinuation of glucocorticoid. J Rheumatol [Internet]. 1993 [Accessed August 21, 2013]; 20(8): 1441-2.

  7. Yu KH, Luo SF, Liou LB, Wu YJ, Tsai WP, Chen JY, et al: Concomitant septic and gouty arthritis-an analysis of 30 cases. Rheumatology (Oxford). 2003; 42(9): 1062-6. doi: 10.1093/rheumatology/keg297.

  8. Eberst-Ledoux J, Tournadre A, Mathieu S, Mrozek N, Soubrier M, Dubost JJ: Septic arthritis with negative bacteriological findings in adult native joints: a retrospective study of 74 cases. Joint Bone Spine. 2012; 79(2): 156-9. doi: 10.1016/j.jbspin.2011.04.019.

  9. Margaretten ME, Kohlwes J, Moore D, Bent S: Does this adult patient have septic arthritis? JAMA. 2007; 297(13): 1478-88. doi: 10.1001/jama.297.13.1478.

  10. Girona SB, Valero JVA, Carsi VV: Reacción seudoséptica tras la infiltración de ácido hialurónico en el tratamiento de la artrosis de tobillo. A propósito de un caso. Revista Española de Cirugía Osteoarticular. 2010; 45(242): 60-3.

  11. Bode KS, Haggerty CJ, Krause J: Latent foreign body synovitis. J Foot Ankle Surg. 2007; 46(4): 291-6. doi: 10.1053/j.jfas.2007.03.012.

  12. Louthrenoo W, Ostrov BE, Park YS, Rothfuss S, Schumacher HR: Pseudoseptic arthritis: an unusual presentation of neuropathic arthropathy. Ann Rheum Dis. 1991; 50(10): 717-21.

  13. Zhang W, Doherty M, Pascual E, et al. EULAR evidence based recommendations for gout. Part I: Diagnosis. Report of a task force of the Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). Ann Rheum Dis. 2006;65(10):1301-1311. doi:10.1136/ard.2006.055251.

  14. Carpenter CR, Schuur JD, Everett WW, Pines JM: Evidence-based diagnostics: adult septic arthritis. Acad Emerg Med. 2011; 18(8): 781-96. doi: 10.1111/j.1553-2712.2011.01121.x.

  15. Saeed K, Dryden M, Sitjar A, White G: Measuring synovial fluid procalcitonin levels in distinguishing cases of septic arthritis, including prosthetic joints, from other causes of arthritis and aseptic loosening. Infection. 2013; 41(4): 845-9. doi: 10.1007/s15010-013-0467-2.

  16. Oppermann BP, Cote JK, Morris SJ, Harrington T: Pseudoseptic arthritis: a case series and review of the literature. Case Rep Infect Dis. 2011; 2011: 942023. doi: 10.1155/2011/942023.

  17. Rao S, Rajkumar A, Elizabeth MJ, Ganesan V, Kuruvilla S: Pathology of synovial lipomatosis and its clinical significance. J Lab Physicians. 2011; 3(2): 84-8. doi: 10.4103/0974-2727.86839.

  18. Swan A, Amer H, Dieppe P: The value of synovial fluid assays in the diagnosis of joint disease: a literature survey. Ann Rheum Dis. 2002; 61(6): 493-8. doi: 10.1136/ard.61.6.493.

  19. Sowers MF, Yosef M, Jamadar D, Jacobson J, Karvonen-Gutierrez C, Jaffe M: BMI vs. body composition and radiographically defined osteoarthritis of the knee in women: a 4-year follow-up study. Osteoarthritis Cartilage. 2008; 16(3): 367-72. doi: 10.1016/j.joca.2007.07.016.

  20. Kobs JK, Hansen AR, Keefe B: A retained wooden foreign body in the foot detected by ultrasonography. A case report. J Bone Joint Surg Am [Internet]. 1992 [Accessed February 5, 2015]; 74(2): 296-8.