Aetiology of arthritis in hospitalised children: an observational study

Archives of Disease in Childhood
Camille AupiaisM Lorrot

Abstract

Arthritis in children has many causes and includes septic and viral arthritis, reactive arthritis and juvenile idiopathic arthritis (JIA). We aimed to describe the different types of arthritis among children hospitalised for a first episode of arthritis. Retrospective, descriptive case series study. A French tertiary care centre. Children under 16 years of age hospitalised for an arthritis episode between 1 January 2008 and 31 December 2009. Demographic and clinical features were compared with χ(2) or Fisher's exact tests and non-parametric tests. 173 children were hospitalised for a first episode of arthritis during the study period, with a male/female ratio of 1.14. The most frequent cause of hospitalisation was septic arthritis (43.4% of cases, 69.3% of which were due to Kingella kingae and 10.7% to Staphylococcus aureus). JIA was responsible for 8.1% of cases and arthritis without any definitive diagnosis for 40.4%. Median age at diagnosis was 2.7 years (IQR 0.3-14.6) and was lower in the septic arthritis group (1.5 years; 1.1-3.4) than in the JIA group (4.7 years; 2.5-10.9) (p<0.01). Septic arthritis involved a single joint in 97.3% of cases, while JIA involved four joints in 14.3% of cases and two to four joints in 28.6% ...Continue Reading

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Citations

Oct 30, 2016·Orthopaedics & Traumatology, Surgery & Research : OTSR·M Le HanneurB Ilharreborde
Nov 22, 2016·The Pediatric Infectious Disease Journal·Jessica BransonJ Chase McNeil
Jun 18, 2018·Emergency Radiology·Jie C NguyenHumberto G Rosas
May 3, 2018·Journal of the Pediatric Infectious Diseases Society·Evangelos SpyridakisKevin J Downes
Mar 4, 2021·The Pediatric Infectious Disease Journal·Catarina GouveiaDelfin Tavares
Jul 22, 2021·BMC Infectious Diseases·Kaoutar MoutaouakkilMoulay Abderrahmane Afifi
Sep 1, 2021·Journal of Paediatrics and Child Health·Mirjam van den BoomRachel Webb

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