Management of pediatric patients with synovial fluid white blood-cell counts of 25,000 to 75,000 cells/mm³ after aspiration of the hip

The Journal of Bone and Joint Surgery. American Volume
Benton E HeyworthMichael P Glotzbecker

Abstract

In this study, we sought to elucidate the presentation, clinical course, treatments pursued, final diagnosis, and risk factors for septic arthritis in a series of children with hip pain and intermediate synovial fluid values (white blood-cell [WBC] counts of 25,000 to 75,000 cells/mm(3) [25 to 75 × 10(9) cells/L]). We reviewed the records of pediatric patients who underwent hip aspiration between 2005 and 2012 at a tertiary-care pediatric hospital. Demographic data, laboratory values, final diagnosis, and treatment details were recorded for the subpopulation of patients with an aspirate WBC count of 25,000 to 75,000 cells/mm(3) (25 to 75 × 10(9) cells/L). Univariate and multivariable logistic regression analysis was used to assess risk factors for septic arthritis of the hip across final diagnostic groups and subgroups with WBC values of <50,000 and ≥50,000 cells/mm(3) (<50 and ≥50 × 10(9) cells/L). Forty-six children (twenty-seven males and nineteen females) with a mean age of 7.6 years met the inclusion criteria. The final diagnoses were septic arthritis of the hip (n = 15; 33%), Lyme arthritis (n = 13; 28%), transient synovitis (n = 8; 17%), and other findings (n = 10; 22%). Subjects with a synovial fluid WBC count of ≥50,00...Continue Reading

References

Dec 1, 1992·Annals of Emergency Medicine·M A Del BeccaroP M Mendelman
Sep 1, 1983·Journal of Pediatric Orthopedics·G Fabry, E Meire
May 1, 1997·Clinical Orthopaedics and Related Research·D M KleinJ L Teicher
Feb 17, 2000·Current Opinion in Pediatrics·T T Do
May 1, 2004·The Journal of Bone and Joint Surgery. American Volume·Scott J LuhmannJan D Luhmann
Aug 5, 2004·The Journal of Bone and Joint Surgery. American Volume·Mininder S KocherJames R Kasser
Sep 18, 2007·The American Journal of Emergency Medicine·Daniel C McGillicuddyJonathan A Edlow
Aug 28, 2010·The Journal of Bone and Joint Surgery. British Volume·J Sultan, P J Hughes
Sep 20, 2011·Journal of Pediatric Orthopedics·Michael P GlotzbeckerJames R Kasser
Jul 3, 2013·Journal of Pediatric Orthopedics. Part B·Aria NouriMarek Synder

❮ Previous
Next ❯

Citations

Oct 16, 2015·Journal of Pediatric Orthopedics·Aristides I CruzKeith D Baldwin
May 18, 2018·Orthopedics·David Gendelberg, William L Hennrikus
Nov 22, 2018·Current Opinion in Pediatrics·James F Mooney, Robert F Murphy
Sep 7, 2019·Journal of Children's Orthopaedics·K K ObanaJ L Pace
Apr 6, 2019·Journal of Pediatric Orthopedics·Mitchell R ObeyPooya Hosseinzadeh
Feb 28, 2020·JBJS Reviews·Ishaan SwarupKeith D Baldwin
Sep 6, 2020·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·K Aaron ShawUNKNOWN CORTICES Study Group
Apr 1, 2020·JBJS Reviews·Ishaan SwarupWudbhav N Sankar
Apr 20, 2018·Pediatrics·Arianna H DartLise E Nigrovic

❮ Previous
Next ❯

Related Concepts

Related Feeds

CRISPR & Staphylococcus

CRISPR-Cas system enables the editing of genes to create or correct mutations. Staphylococci are associated with life-threatening infections in hospitals, as well as the community. Here is the latest research on how CRISPR-Cas system can be used for treatment of Staphylococcal infections.