Septic arthritis presenting as brachial plexus neurophaty

Mascarenhas, Andreia; Almeida, Carlos A.; Constantino, Cláudia; Soudo, A P; Calado, Eraldo Barbosa; Vieira, José Pedro

doi:10.1136/bcr.12.2010.3562

Cited by 2 publications

(4 citation statements)

References 11 publications

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“…In the 2011 case report by Mascarenhas et al, this detailed a seven-week-old infant who presented with pseudoparalysis of his right arm. This infant was subsequently diagnosed with Staphylococcus aureus neonatal sepsis, osteoarticular infection complicated with brachial plexus neuropathy was considered, and MRI and electromyography confirmed the diagnosis [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

A Case of Upper Limb Osteomyelitis and Septic Arthritis Presenting as Pseudoparalysis in a Two-Week-Old

Stöhr

2018

Case Reports in Pediatrics

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Pseudoparalysis presenting in infants is a rare manifestation, where infection and trauma are the principle differentials. We present a case of a two-week-old baby boy with pseudoparalysis who was initially diagnosed as Erb's palsy when presented in the emergency department and later re-presented with signs of sepsis. A later diagnosis of osteomyelitis of the humerus and septic arthritis of the shoulder was made. Despite antibiotic therapy and surgical drainage, the proximal epiphysis of his humerus remains abnormal; however, he has no apparent functional deficit of his right arm at four-year follow-up.

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Section: Discussionmentioning

confidence: 99%

A Case of Upper Limb Osteomyelitis and Septic Arthritis Presenting as Pseudoparalysis in a Two-Week-Old

Stöhr

2018

Case Reports in Pediatrics

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“…1,2 Other symptoms like fever and irritability are common but can be absent. 1,4 Laboratory tests may suggest septic arthritis and osteomyelitis, which frequently occur concomitantly, but not definitely. Laboratory tests should include complete blood count with differential, ESR, CRP, blood culture, bone aspirate/ synovial analysis.…”

Section: Expert Opinionmentioning

confidence: 99%

“…Laboratory tests should include complete blood count with differential, ESR, CRP, blood culture, bone aspirate/ synovial analysis. 4 Radiologic abnormalities may be absent, subtle, or only positive in longer standing infections. 1 The Infectious Diseases Society of America (IDSA) considers MRI the gold standard for diagnosing septic arthritis and osteomyelitis since it is the most sensitive radiological investigation.…”

Section: Expert Opinionmentioning

confidence: 99%

“…The need for clinical vigilance is emphasized to avoid complications of infection including bone and growth plate deformity, growth disturbance, joint dislocation, limited joint motion, and neurologic abnormalities. 4 Early diagnosis is crucial to mitigate sequelae. MRI should be obtained without hesitation to confirm suspicion of osteoarticular infections and facilitate prompt treatment.…”

Section: Expert Opinionmentioning

confidence: 99%

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