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Septic arthritis caused by Staphylococcus aureus following self medication error: case reportA 3-year-old boy developed septic arthritis caused by Staphylococcus aureus following accidental self administration of epinephrine for peanut allergy.The boy presented to the emergency department with incapability to bear weight with his left leg and acute left knee pain. It was reported that he had a peanut allergy, for which he was prescribed an epinephrine autoinjector. Five days prior to the presentation, he took epinephrine [route and dosage not stated] autoinjector from his mother's purse and self-administered it accidentally into his left knee. Examination revealed a swollen, warm, erythematous joint with restricted active and passive range of motion. A small puncture wound was observed on the lateral aspect of the knee at the site of epinephrine administration. A radiograph revealed a large effusion in the suprapatellar recess. Laboratory analysis demonstrated an increased CRP and ESR. Subsequently, he was diagnosed with septic arthritis associated with self-medication error of epinephrine [time to reaction onset not stated].The boy had an urgent joint irrigation and debridement under general anaesthesia. Thereafter, specimen cultures were positive for Staphylococcus aureus. He was prescribed cefazolin in hospital, and later 6 weeks of cephalexin. He was discharged from the hospital and continued to take his epinephrine autoinjector [outcome of ADR not stated].
Septic arthritis caused by Staphylococcus aureus following self medication error: case reportA 3-year-old boy developed septic arthritis caused by Staphylococcus aureus following accidental self administration of epinephrine for peanut allergy.The boy presented to the emergency department with incapability to bear weight with his left leg and acute left knee pain. It was reported that he had a peanut allergy, for which he was prescribed an epinephrine autoinjector. Five days prior to the presentation, he took epinephrine [route and dosage not stated] autoinjector from his mother's purse and self-administered it accidentally into his left knee. Examination revealed a swollen, warm, erythematous joint with restricted active and passive range of motion. A small puncture wound was observed on the lateral aspect of the knee at the site of epinephrine administration. A radiograph revealed a large effusion in the suprapatellar recess. Laboratory analysis demonstrated an increased CRP and ESR. Subsequently, he was diagnosed with septic arthritis associated with self-medication error of epinephrine [time to reaction onset not stated].The boy had an urgent joint irrigation and debridement under general anaesthesia. Thereafter, specimen cultures were positive for Staphylococcus aureus. He was prescribed cefazolin in hospital, and later 6 weeks of cephalexin. He was discharged from the hospital and continued to take his epinephrine autoinjector [outcome of ADR not stated].
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