10 Joint Changes Observed Following Renal Transplants

Irby, Robert; Hume, David N.

doi:10.1097/00003086-196803000-00011

Cited by 5 publications

(10 citation statements)

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“…The few report ed cases were associated with disseminated sepsis and mul tiple joint involvement [3,6], The 4 patients presented in this report had monoarticular infectious arthritis without concomitant disseminated sepsis. All survived the arthritis and only I patient (case 2) had a protracted course with morbid consequences.…”

Section: Linical Featuresmentioning

confidence: 59%

“…Treatment of these initial extra articular infections may have been inadequate or delayed. Finally, it is possible that changes occur in the synovium per se following transplantation that may predispose it to infection [1][2][3].…”

Section: Predisposing Factorsmentioning

confidence: 99%

“…Infectious arthritis has not been frequently reported. Irby and Hume [3] reported 2 cases of infectious arthritis due to Cryptococcus neoformans and Nocarida asteroides. Rogala et al [6] described 1 case of multiple pyogenic arthritis due to S.marcescens.…”

Section: Diagnosis and Treatmentmentioning

confidence: 99%

“…Articular complications consisting of arthralgia, syno vitis and avascular necrosis are frequent problems follow ing renal transplantation [1][2][3]. Septic joint complications have not been previously reported, despite the frequent occurrence of bacterial infections in other sites in these immunosuppressed patients [4,5].…”

Section: Introductionmentioning

confidence: 99%

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Septic Arthritis following Renal Transplantation

Vincenti¹,

Amend²,

Feduska³

et al. 1982

Nephron

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Monoarticular septic arthritis without disseminating sepsis occurred in 4 patients following renal transplantation. The septic arthritis was preceded by an infection with the same organism in an extraarticular location (3 urinary tract, 1 upper respiratory). All patients were on prednisone-azathioprine immunosuppressive regimen but none had granulocytopenia. Prompt antibiotic therapy resulted in quick resolution of the joint infection in 3 patients. Impaired host defenses, possible inadequate prior antibiotic therapy, and intrinsic joint alterations are potential contributing factors to the development of septic arthritis following renal transplantation.

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Section: Linical Featuresmentioning

confidence: 59%

Section: Predisposing Factorsmentioning

confidence: 99%

Section: Diagnosis and Treatmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Septic Arthritis following Renal Transplantation

Vincenti¹,

Amend²,

Feduska³

et al. 1982

Nephron

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“…Numerous examples could be cited of the importance of the x-ray diagnosis in the treatment of other intra-abdominal calamities (23, 24), pneumonitis (13, 26, 29, 30), bone abnormalities (16,30), and other disorders. There is no need to go into these in any particular detail beyond pointing out that certain diagnoses ordinarily regarded as rare are not especially uncommon in the transplant recipient.…”

Section: Recipient Studies During Rejectionmentioning

confidence: 99%

Radiology and Organ Transplantation

Starzl¹,

Vanhoutte²,

Brown³

et al. 1970

Radiology

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Joint effusions after kidney transplantation

Macfarlane

Filo

Brandt

1979

Arthritis & Rheumatism

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Thirty-seven consecutive renal transplant recipients were studied prospectively for joint disease. Six developed arthralgias while corticosteroid doses were being lowered. Eleven patients (30%) developed knee effusions at a mean interval of 10 days following transplantation. Synovial fluids were colorless or very pale yellow, with few leukocytes (mean, 28/mm3). These benign transudative effusions did not correlate with immunologic abnormalities, transplant rejection, crystal deposition, or avascular necrosis and may have been due to high dose oral corticosteroid therapy.Musculoskeletal complaints have been noted in up to 30% of patients receiving kidney transplants (1-4). Although aseptic necrosis has received the most atten-

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10 Joint Changes Observed Following Renal Transplants

Cited by 5 publications

References 0 publications

Septic Arthritis following Renal Transplantation

Septic Arthritis following Renal Transplantation

Radiology and Organ Transplantation

Joint effusions after kidney transplantation

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