Incidence and Characteristics of Arthritis in Norwegian Children: A Population-Based Study

Riise, Øystein Rolandsen; Handeland, Kai Samson; Cvancarova, Milada; Wathne, Karl‐Olaf; Nakstad, Britt; Abrahamsen, Tore G.; Kirkhus, Eva; Flatø, Berit

doi:10.1542/peds.2007-0291

Cited by 129 publications

(86 citation statements)

References 116 publications

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“…En el 80% de los casos ocurre en las extremidades inferiores y de forma monoarticular, siendo la presentación en el hombro rara a cualquier edad 1,2 . La vía de transmi-e97 sión más frecuente es la hematógena, si bien también puede ocurrir por inoculación directa o a partir de un foco adyacente de osteomielitis.…”

Section: Discussionunclassified

Artritis séptica de hombro por E. coli en un prematuro

Fernández

Grande

Mateos

et al. 2014

Rev Pediatr Aten Primaria

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Septic arthritis of the shoulder caused by E. coli infection in a premature infantPresentamos el caso de un prematuro de 33 semanas y 1600 g, con antecedente de traslado en las primeras 12 horas de vida a la Unidad de Cuidados Intensivos Neonatales de un hospital terciario por hipertensión pulmonar grave y afectación multiorgánica, que a su regreso a nuestro centro a las 37 semanas corregidas comienza con decaimiento y pausas de apnea. Tras un inicio de cuadro subagudo e inespecífico, con alteraciones analíticas discretas, presenta progresivamente tumefacción, dolor e impotencia funcional del hombro derecho. Se realiza el diagnóstico de artritis séptica del mismo tras evidenciar derrame articular por ecografía y obtener líquido articular purulento en la punción-aspiración. Recibe precozmente antibioterapia empírica, que se ajusta al antibiograma una vez que se conoce que crece un E. coli sin resistencias en el líquido articular. La mejoría es inicialmente lenta pero, tras tres semanas de antibioterapia intravenosa sin necesidad de cirugía abierta, la recuperación es franca aunque no total. Completa otras tres semanas de antibioterapia oral con cefuroxima-axetilo en dosis altas. La evolución en su seguimiento es adecuada, con normalización y desaparición del derrame articular a los cinco meses de edad.We present the case of a premature infant 33 weeks of gestational age and 1600 g, that had required intensive care at a tertiary hospital due to refractory pulmonary hipertensión and multiorganic illness, at his return to our center, at 37 weeks of corrected gestational age, with a peripheral line in his right axilla, presents with frequent apneas and feeding intolerance. The initial presentation is subacute and unspecific, with discrete alterations in his blood tests, but progressively starts with inflammatory signs, pain and shoulder movement limitations. Septic arthritis is diagnosed after revealing joint effusion by ultrasonography and obtaining synovial fluid with purulent characteristics by needle aspiration. He was started on empiric intravenous antibiotics that were later adjusted according to the antibiogram once the results for the synovial fluid culture turned positive for E. coli. Clinical recovery was slow at first, but clearly improved throughout a three week intravenous antibiotic course, and the infant did not need open surgery. At discharge, there was an almost full recovery in terms of movement range of the shoulder and he was pain free. The infant completed another three weeks of oral antibiotics with cefuroxime-axetile. Ongoing follow-up yielded excellent results.

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Section: Discussionunclassified

Artritis séptica de hombro por E. coli en un prematuro

Fernández

Grande

Mateos

et al. 2014

Rev Pediatr Aten Primaria

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“…JIA has a yearly incidence in Norway of 14-23/100 000 children (Riise et al 2008). The incidence of juvenile chronic arthritis (EULAR criteria) in Norway, Finland and Sweden has been reported in 11-23/100 000 children (Berntson et al 2003, Moe and Rygg 1998, Kunnamo et al 1986, Gare and Fasth 1992, which is higher than rates reported from other European countries (Ravelli and Martini 2007, Prieur et al 1987, Kiessling et al 1998).…”

Section: Epidemiologymentioning

confidence: 91%

“…CPLs may be a biological marker for the autoimmune disease activity in JIA and RA, and may also in part explain the unresponsiveness to therapy as seen in some patients with JIA and RA. Finnish study with a disease duration of chronic arthritis exceeding two weeks had low level of C-reactive protein (CRP) and an elevated IgG level and no fever (Kunnamo et al 1987), while in a Norwegian study, a high platelet count, a normal neutrophil white blood cell count, a frequent HLA-B27 association, and a positive ANA were detected (Riise et al 2008). In a recent study of long-term follow-up, physician´s global assessment, number of active joints, ESR and CRP all improved significantly from 15 to 30 years follow-up, although patient´s total assessment did not (Selvaag et al 2014).…”

Section: Cellular Immune Reactionmentioning

confidence: 98%

Juvenile idiopathic arthritis and rheumatoid arthritis: bacterial diversity in temporomandibular joint synovial fluid in comparison with immunological and clinical findings

Olsen‐Bergem

Kristoffersen

Bjørnland

et al. 2016

International Journal of Oral and Maxillofacial Surgery

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“…The causes of monoarthritis can be classified based on their relative frequencies reported in the literature (Table 3), despite some variability related to methodological differences [1,[8][9][10][11]. Transient synovitis of the hip is fairly characteristic but rarely investigated by joint aspiration and usually treated by primarycare physicians.…”

Section: Main Causes Of Monoarthritismentioning

confidence: 99%

“…The prevalence of childhood arthritis is estimated at 71/100,000 [1], with 75% of cases manifesting as monoarthritis (an inflammatory effusion in a single joint). Several distinctive features of pediatric monoarthritis must be borne in mind to ensure optimal management.…”

Section: Introductionmentioning

confidence: 99%