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[3] [4] Septic arthritis is an orthopedic emergency, which, if treatment is delayed, can lead to irreversible joint damage. Septic arthritis occurs more often in childhood than at any other time. [4] [5] Kocher criteria are a useful guide to the diagnosis of septic arthritis in children, especially in the hip, one of the most frequently ...
In children septic arthritis usually affects the larger joints like the hips, knees and shoulders. The early signs and symptoms of septic arthritis in children and adolescents can be confused with limb injury. [5] Among the signs and symptoms of septic arthritis are: acutely swollen, red, painful joint with fever. [9]
Osteoarthritis is a degenerative, or non-inflammatory arthritis. It is the most common type of arthritis, affecting between 19% and 30% of adults above the age of 45. It is caused by a progressive erosion of cartilage which eventually leads to bone damage. It is a polyarthritis, but it usually begins in a single joint.
The SOFA scoring system is useful in predicting the clinical outcomes of critically ill patients. [8] According to an observational study at an Intensive Care Unit (ICU) in Belgium, the mortality rate is at least 50% when the score is increased, regardless of initial score, in the first 96 hours of admission, 27% to 35% if the score remains unchanged, and less than 27% if the score is reduced. [9]
10 to 80% risk of death; [4] [6] These mortality rates (they are for a range of conditions along a spectrum: sepsis, severe sepsis, and septic shock) may be lower if treated aggressively and early, depending on the organism and disease, the patient's previous health, and the abilities of the treatment location and its staff: Frequency
Reactive arthritis may be self-limiting, frequently recurring, chronic or progressive. Most patients have severe symptoms lasting a few weeks to six months. 15 to 50 percent of cases involve recurrent bouts of arthritis. Chronic arthritis or sacroiliitis occurs in 15–30 percent of cases.
Septic shock is a result of a systemic response to infection or multiple infectious causes. The precipitating infections that may lead to septic shock if severe enough include but are not limited to appendicitis, pneumonia, bacteremia, diverticulitis, pyelonephritis, meningitis, pancreatitis, necrotizing fasciitis, MRSA and mesenteric ischemia.
Arthralgia, as well as arthritis, are the sole signs in 67% of patients, and they may appear years before other symptoms. [11] A case series comprising twenty-five patients with Whipple's disease-related arthropathy revealed that symmetric migratory polyarthritis, primarily affecting the knees, ankles, and wrists, was the most prevalent pattern ...