ABSTRACT
OBJECTIVE: The rare polyarticular clinical presentation of peripheric septic arthritis has worst prognosis than monoarticular one. We studied 10 patients with polyarticular septic arthritis treated during the last 8 years, to evaluate functional result and complications after surgical treatment. MATERIAL AND METHODS: We studied 5 men and 5 women, with an average age of 46.5 years (range 18-75 years), they presented septic arthritis in two or more joints. We discuss aetiology, clinical presentation and treatment. RESULTS: Treatment was surgical debridement and parenteral antibiotic therapy. Functional result was poor in 54% of the joints treated, 50% of patients presented septic shock and three died.
Subject(s)
Arthritis, Infectious/complications , Klebsiella Infections , Klebsiella pneumoniae , Staphylococcal Infections/complications , Streptococcal Infections/complications , Streptococcus pyogenes , Adolescent , Adult , Aged , Arthritis, Infectious/mortality , Arthritis, Infectious/therapy , Combined Modality Therapy , Female , Humans , Klebsiella Infections/complications , Klebsiella Infections/mortality , Klebsiella Infections/therapy , Male , Middle Aged , Retrospective Studies , Staphylococcal Infections/mortality , Staphylococcal Infections/therapy , Streptococcal Infections/mortality , Streptococcal Infections/therapy , Treatment OutcomeABSTRACT
Objetivo: Dentro de la artritis séptica periférica existe una forma poliarticular de presentación poco frecuente y de peor pronóstico que la forma monoarticular. En el presente trabajo estudiamos los casos de artritis séptica poliarticular (ASP) tratados en los últimos 8 años, para valorar el resultado funcional y las complicaciones que presentaron los pacientes. Material y Método: La serie consta de 5 hombres y de 5 mujeres con edad media de 46,5 años (18-75 años). Todos ellos presentaron artritis séptica en dos o más articulaciones (2,3). Se revisa la etiología, cuadro clínico y el tratamiento. Este último consistió en el desbridamiento quirúrgico y el tratamiento médico antibiótico así como de soporte de la situación de sepsis acompañante. Resultados: En cuanto a los resultados y complicaciones destaca un resultado funcional deficiente en un 54% de las articulaciones, la presentación de shock séptico en el 50% de los casos y el exitus de tres de diez pacientes de la serie (AU)
Subject(s)
Adolescent , Adult , Aged , Female , Male , Middle Aged , Humans , Arthritis, Infectious , Combined Modality Therapy , Retrospective Studies , Staphylococcal Infections , Streptococcal Infections , Treatment Outcome , Arthritis, Infectious/mortality , Arthritis, Infectious/therapy , Klebsiella Infections/complications , Klebsiella Infections/mortality , Klebsiella Infections/therapy , Klebsiella pneumoniae , Staphylococcal Infections/complications , Staphylococcal Infections/mortality , Staphylococcal Infections/therapy , Streptococcal Infections/complications , Streptococcal Infections/mortality , Streptococcal Infections/therapy , Streptococcus pyogenesABSTRACT
Pubic osteoarthritis is a little known pathological entity with a very controversial etiology. We present four cases of public osteoarthritis in which the infectious etiology was hematogeneous. The causal germs were: Staphilococcus aureus, Pseudomona aeruginosa, Mycobacterium tuberculosis and Brucella melitensis. In the first three cases, a surgical approach was used, allowing us to establish the etiological diagnosis of the process and to perform the local debridement. In the case of brucellar etiology, an isolated medical treatment was applied, according to the therapeutical guidelines recommended for brucellar bone infections. We have not observed recurrence of the septic process in any of the four cases, with a follow-up period ranging from one to three years.
