Acute Arthritis in Children: How to Discern between Septic and Non-Septic Arthritis?

被引：11
作者：
Gamalero, Lisa [1 ]
Ferrara, Giovanna [2 ]
Giani, Teresa [3 ]
Cimaz, Rolando [3 ]
机构：
[1] Univ Udine, Dept Med, I-33100 Udine, Italy
[2] AUSL Toscana Ctr, I-50122 Florence, Italy
[3] Univ Milan, Dept Clin Sci & Community Hlth, I-20122 Milan, Italy
来源：
CHILDREN-BASEL | 2021年 / 8卷 / 10期
关键词：
arthritis; acute; septic; children; differential diagnosis; SYSTEMIC-LUPUS-ERYTHEMATOSUS; C-REACTIVE PROTEIN; OSTEOARTICULAR INFECTIONS; TRANSIENT SYNOVITIS; MANAGEMENT; BONE; OSTEOMYELITIS; DIAGNOSIS; COUNT; FLUID;
D O I：
10.3390/children8100912
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
The term septic arthritis refers to an infection of the synovial space. This is an infrequent condition in healthy children, but it should be considered a medical emergency potentially leading to irreversible articular damage. Therefore, prompt diagnosis and antimicrobial treatment play a crucial role in improving the prognosis. Although septic arthritis is the most common cause of acute arthritis, many other diseases may mimic a similar clinical picture, constituting a diagnostic challenge for the clinician who first approaches the patient. Herein we analyze the main features of septic arthritis, offering an overview of the main conditions involved in the differential diagnosis and suggesting a diagnostic workup plan.</p>
引用
收藏
页数：10
相关论文
共 56 条
[11]   DIFFERENTIATING OSTEOARTICULAR INFECTIONS CAUSED BY KINGELLA KINGAE FROM THOSE DUE TO TYPICAL PATHOGENS IN YOUNG CHILDREN [J].
Ceroni, Dimitri ;
Cherkaoui, Abdessalam ;
Combescure, Christophe ;
Francois, Patrice ;
Kaelin, Andre ;
Schrenzel, Jacques .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2011, 30 (10) :906-909
[12]   Clinical presentation of childhood leukaemia: a systematic review and meta-analysis [J].
Clarke, Rachel T. ;
Van den Bruel, Ann ;
Bankhead, Clare ;
Mitchell, Christopher D. ;
Phillips, Bob ;
Thompson, Matthew J. .
ARCHIVES OF DISEASE IN CHILDHOOD, 2016, 101 (10) :894-901
[13]   Septic arthritis in children: Updated epidemiologic, microbiologic, clinical and therapeutic correlations [J].
Cohen, Eugen ;
Katz, Tiberiu ;
Rahamim, Eldad ;
Bulkowstein, Shlomi ;
Weisel, Yaron ;
Leibovitz, Ron ;
Fruchtman, Yariv ;
Leibovitz, Eugene .
PEDIATRICS AND NEONATOLOGY, 2020, 61 (03) :325-330
[14]   Another look at synovial fluid leukocytosis and infection [J].
Coutlakis, PJ ;
Roberts, WN ;
Wise, CM .
JCR-JOURNAL OF CLINICAL RHEUMATOLOGY, 2002, 8 (02) :67-71
[15]   Hip Synovial Fluid Cell Counts in Children From a Lyme Disease Endemic Area [J].
Dart, Arianna H. ;
Michelson, Kenneth A. ;
Aronson, Paul L. ;
Garro, Aris C. ;
Lee, Thomas J. ;
Glerum, Kimberly M. ;
Nigrovic, Peter A. ;
Kocher, Mininder S. ;
Bachur, Richard G. ;
Nigrovic, Lise E. .
PEDIATRICS, 2018, 141 (05)
[16]   Transient synovitis as a cause of painful limps in children [J].
Do, TT .
CURRENT OPINION IN PEDIATRICS, 2000, 12 (01) :48-51
[17]   Osteomyelitis and septic arthritis in children: current concepts [J].
Dodwell, Emily R. .
CURRENT OPINION IN PEDIATRICS, 2013, 25 (01) :58-63
[18]   Multisystemic manifestations of IgA vasculitis [J].
Du, Lina ;
Wang, Panpan ;
Liu, Chang ;
Li, Shaojing ;
Yue, Shuang ;
Yang, Yan .
CLINICAL RHEUMATOLOGY, 2021, 40 (01) :43-52
[19]   An unusual pattern of arthritis in a child with Kawasaki syndrome [J].
Duzova, A ;
Topaloglu, R ;
Keskin, M ;
Ozcelik, U ;
Secmeer, G ;
Tokgozoglu, AM .
CLINICAL RHEUMATOLOGY, 2004, 23 (01) :73-75
[20]   Acute osteoarticular infections in children are frequently forgotten multidiscipline emergencies: beyond the technical skills [J].
El-Sobky, Tamer ;
Mahmoud, Shady .
EFORT OPEN REVIEWS, 2021, 6 (07) :584-592
123456