Ultrasound-aided diagnosis of septic arthritis of the elbow in the emergency department.
Arthrocentesis
Point-of-care
Septic arthritis
Ultrasound
Journal
Journal of ultrasound
ISSN: 1876-7931
Titre abrégé: J Ultrasound
Pays: Italy
ID NLM: 101315005
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
22
05
2020
accepted:
08
07
2020
pubmed:
17
7
2020
medline:
1
6
2022
entrez:
17
7
2020
Statut:
ppublish
Résumé
Septic arthritis (SA) is an emergency orthopedic condition that carries significant patient morbidity and mortality. Clinical data and blood test analyses are fairly unreliable in making the diagnosis and, therefore, utilizing a feasible and reliable diagnostic tool is desirable, particularly in emergency settings where rapid diagnosis is pivotal. Here, we report the case of a 58-year-old male presenting to the emergency department with a swollen elbow. After demonstration of a large articular effusion with point-of-care ultrasound, the synovial fluid analysis was compatible with SA. The patient was treated with elbow arthrotomy and systemic antibiotics and discharged shortly thereafter, uneventfully. Finally, we discuss the impact of ultrasound in diagnosing SA and the many advantages that make it the first-line tool in urgent care.
Identifiants
pubmed: 32671656
doi: 10.1007/s40477-020-00506-2
pii: 10.1007/s40477-020-00506-2
pmc: PMC9148349
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
315-318Informations de copyright
© 2020. Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).
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