Articular and cutaneous manifestations of gonorrhoea. Review of sixteen cases.

Seifert, Martin; Warin, A P; Miller, Albert

doi:10.1136/ard.33.2.140

Cited by 23 publications

(3 citation statements)

References 20 publications

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“…Past studies have reported variable sensitivities of these ancillary tests for septic arthritis. The sensitivity of an elevated WBC ranges from 19% to 77%, 2,[4][5][6][7][8][13][14][15][16][17][18][19]21,[25][26][27]33 the sensitivity of an elevated ESR ranges from 71% to 94%, [2][3][4][5][6][7][8]14,15,[17][18][19][20][21]30,[33][34][35] and the sensitivity of a jWBC greater than 50,000 cells/mm 3 ranges from 0% to 92%. 1,3,[17][18][19]21,[25][26][27][28][29][30]33,36,…”

Section: Discussionmentioning

confidence: 99%

Laboratory Tests in Adults with Monoarticular Arthritis: Can They Rule Out a Septic Joint?

Li¹

2004

Academic Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

Laboratory Tests in Adults with Monoarticular Arthritis: Can They Rule Out a Septic Joint?

Li¹

2004

Academic Emergency Medicine

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“…Past studies have reported variable sensitivities of these ancillary tests for septic arthritis. The sensitivity of an elevated WBC ranges from 19% to 77%, 2,4-8,13-19,21,25-27,33 the sensitivity of an elevated ESR ranges from 71% to 94%, [2][3][4][5][6][7][8]14,15,[17][18][19][20][21]30,[33][34][35] and the sensitivity of a jWBC greater than 50,000 cells/mm 3 ranges from 0% to 92%. 1,3,[17][18][19]21,[25][26][27][28][29][30]33,36,37 Much of the literature consists of case series studies like ours, often with variable values for normal WBC, ESR, and jWBC.…”

Section: Discussionmentioning

confidence: 99%

Laboratory Tests in Adults with Monoarticular Arthritis: Can They Rule Out a Septic Joint?

Henderson

Dickman

et al. 2004

Acad Emergency Med

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It is difficult to differentiate septic arthritis from other causes of monoarticular arthritis solely with a history and physical examination. The clinician must rely on ancillary tests to make a diagnosis, such as the white blood cell count of peripheral blood (WBC), the erythrocyte sedimentation rate (ESR), and the white blood cell count of the joint fluid ( jWBC) obtained from arthrocentesis. Although it is known that septic arthritis is associated with abnormalities in these tests, the majority of the data are based on studies in the pediatric population. In addition, although several emergency medicine texts indicate that a jWBC greater than 50,000 cells/mm 3 is ''positive,'' it is known that septic arthritis can occur in patients with low jWBCs. Objectives: To determine whether specific ancillary tests have sufficiently high sensitivities to rule out septic arthritis in adults.Methods: This was a retrospective consecutive case series of patients from an urban emergency department (ED). Patients at least 18 years old who had septic arthritis confirmed by positive arthrocentesis culture or operative findings were included in the study. WBC greater than 11,000 cells/mm 3 , ESR greater than 30 mm/hr, and jWBC greater than 50,000 cells/mm 3 were considered elevated. Results: Seventy-three patients met the inclusion criteria. The sensitivities of an elevated WBC, ESR, or jWBC in adults who had septic arthritis were 48%, 96%, and 64%, respectively. There were broad ranges of WBC, ESR, or jWBC among the patients. More than one third of adult patients with septic arthritis had jWBCs less than 50,000 cells/mm 3 . All patients had an abnormality in at least one of these tests. Conclusions: The WBC, ESR, and jWBC are extremely variable in adults with septic arthritis. Laboratory tests do not rule out septic arthritis with accuracy.

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“…Seifert et al, 13 reporting a series of cases of gonococcal arthritis, noted that they presented not to the venereologist but to the general physician, rheumatologist or dermatologist. Typically there was a mild febrile illness about 2 weeks after exposure with the involvement of multiple joints and absence of leucocytosis making it easy to overlook the possibility of an infective aetiology.…”

Section: Infectionsmentioning

confidence: 97%

Section 1 Arthritis as a sign of another disease

Huskisson

1974

Current Medical Research and Opinion

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Patients with apparently straightforward and sometimes mild joint pain may have a serious underlying condition whose correct recognition is important to their future well-being. Confronted with so many cases of rheumatoid or osteoarthritis, however, there is a danger that other diagnoses may be overlooked. The author reviews these types of disease -infections, malignant diseases, and metabolic disorders -which should be taken into consideration in patients presenting with arthritic sJ,mptonls.

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Articular and cutaneous manifestations of gonorrhoea. Review of sixteen cases.

Abstract: The incidence of gonococcal infection of the urogenital tract has risen steeply throughout the world in the past few years. With this rise has re-emerged a benign syndrome of gonorrhoea associated with acute polyarthritis and characteristic vesiculopustular skin lesions.

Cited by 23 publications

References 20 publications

Laboratory Tests in Adults with Monoarticular Arthritis: Can They Rule Out a Septic Joint?

Laboratory Tests in Adults with Monoarticular Arthritis: Can They Rule Out a Septic Joint?

Laboratory Tests in Adults with Monoarticular Arthritis: Can They Rule Out a Septic Joint?

Section 1 Arthritis as a sign of another disease

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