45 results match your criteria Nongonococcal Infectious Arthritis


Reactive arthritis associated with Mycoplasma genitalium urethritis.

Diagn Microbiol Infect Dis 2013 Nov 10;77(3):278-9. Epub 2013 Sep 10.

Centre Hospitalier Universitaire de Bordeaux, Laboratoire de Bactériologie, 33076 Bordeaux, France.

Mycoplasma genitalium is an important cause of sexually transmitted infections that is gaining recognition and is an independent cause of acute and chronic nongonococcal urethritis in men. M. genitalium has been implicated as a possible causative factor in reactive arthritis. Read More

View Article and Full-Text PDF
November 2013

Acute hematogenous septic arthritis of the knee in adults.

Eur J Orthop Surg Traumatol 2013 Oct 30;23(7):803-7. Epub 2012 Aug 30.

Department of Orthopaedics, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Dhanvantrinagar, Puducherry, 605006, India,

Purpose Of Study: To evaluate the factors associated with acute hematogenous septic arthritis of the knee in adults and to assess the outcome after open knee arthrotomy.

Methods: We performed a prospective evaluation of 26 adult patients with acute nongonococcal septic arthritis of the knee presenting within 7 days. All patients underwent open knee arthrotomy, and final evaluation by means of Knee society score of the affected knee was compared with the contra lateral normal knee. Read More

View Article and Full-Text PDF
October 2013

Approach to septic arthritis.

Am Fam Physician 2011 Sep;84(6):653-60

North Shore-Long Island Jewish Health System, Manhasset, NY, USA.

Prompt diagnosis and treatment of infectious arthritis can help prevent significant morbidity and mortality. The acute onset of monoarticular joint pain, erythema, heat, and immobility should raise suspicion of sepsis. Constitutional symptoms such as fever, chills, and rigors are poorly sensitive for septic arthritis. Read More

View Article and Full-Text PDF
September 2011

Evidence-based diagnostics: adult septic arthritis.

Acad Emerg Med 2011 Aug;18(8):781-96

Division of Emergency Medicine, Washington University in St. Louis School of Medicine, MO, USA.

Background: Acutely swollen or painful joints are common complaints in the emergency department (ED). Septic arthritis in adults is a challenging diagnosis, but prompt differentiation of a bacterial etiology is crucial to minimize morbidity and mortality.

Objectives: The objective was to perform a systematic review describing the diagnostic characteristics of history, physical examination, and bedside laboratory tests for nongonococcal septic arthritis. Read More

View Article and Full-Text PDF

Gonococcal and nongonococcal arthritis.

Rheum Dis Clin North Am 2009 Feb;35(1):63-73

Department of Immunology and Rheumatology, Hospital General de Occidente, Secretaría de Salud, Justo Sierra 2821, Guadalajara CP 44690, México.

Acute bacterial arthritis usually is caused by gonococcal or nongonococcal infection of the joints. Nongonococcal and gonococcal arthritis are the most potentially dangerous and destructive forms of acute arthritis. These bacterial infections of the joints are usually curable with treatment, but morbidity and mortality are still significant in patients who have underlying rheumatoid arthritis, patients who have prosthetic joints, elderly patients, and patients who have severe and multiple comorbidities. Read More

View Article and Full-Text PDF
February 2009

Does this adult patient have septic arthritis?

JAMA 2007 Apr;297(13):1478-88

Division of Rheumatology, Prime Program, Department of Medicine, University of California, San Francisco, CA 94143-0633, USA.

Context: In patients who present with an acutely painful and swollen joint, prompt identification and treatment of septic arthritis can substantially reduce morbidity and mortality.

Objective: To review the accuracy and precision of the clinical evaluation for the diagnosis of nongonococcal bacterial arthritis.

Data Sources: Structured PubMed and EMBASE searches (1966 through January 2007), limited to human, English-language articles and using the following Medical Subject Headings terms: arthritis, infectious, physical examination, medical history taking, diagnostic tests, and sensitivity and specificity. Read More

View Article and Full-Text PDF

Nonspecific urethritis and reactive arthritis.

Clin Dermatol 2004 Nov-Dec;22(6):469-75

Department of Dermatology, Faculty of Medicine, United Arab Emerites University, Dubai, United Arab Emerites.

Nongonococcal urethritis (NGU) is a common sexually transmitted infection most often caused by Chlamydiae and Mycoplasmae. A few other organisms, as well as some nonsexual factors, also contribute to its etiology. NGU can result in considerable physical and psychological morbidity. Read More

View Article and Full-Text PDF

A swollen joint: why all the fuss?

Am J Ther 2003 May-Jun;10(3):219-24

Division of Rheumatology, Finch University of Health Sciences and the Chicago Medical School, North Chicago, Illinois 60064, USA.

Acute arthritis may be a potential medical emergency. An infected joint causes rapid cartilaginous destruction and risk of future osteoarthritis. Prompt attention to the historical clues and potential causative organisms ensures appropriate therapy. Read More

View Article and Full-Text PDF
October 2003

Acute septic arthritis.

Clin Microbiol Rev 2002 Oct;15(4):527-44

Center for Biofilm Engineering Montana State University, Bozeman, Montana 59717-3980, USA.

Acute septic arthritis may develop as a result of hematogenous seeding, direct introduction, or extension from a contiguous focus of infection. The pathogenesis of acute septic arthritis is multifactorial and depends on the interaction of the host immune response and the adherence factors, toxins, and immunoavoidance strategies of the invading pathogen. Neisseria gonorrhoeae and Staphylococcus aureus are used in discussing the host-pathogen interaction in the pathogenesis of acute septic arthritis. Read More

View Article and Full-Text PDF
October 2002

[Postpartum septic arthritis. Two case reports].

J Gynecol Obstet Biol Reprod (Paris) 1998 Jun;27(4):449-54

Département de Gynécologie-Obstétrique, Centre Hospitalier du Belvédère, Mont-Saint-Aignan.

Nongonococcal septic arthritis can occur during the postpartum period. We report two cases, one involving the wrist and the sacroiliac joints and the other the pubic symphysis. The difficulty of initial diagnosis in the postpartum period is emphasized. Read More

View Article and Full-Text PDF

Recognition and management of bacterial arthritis.

Authors:
M A Cimmino

Drugs 1997 Jul;54(1):50-60

Department of Internal Medicine, University of Genoa, Italy.

Bacterial arthritis is a bacterial infection of the joint. Apart from the classical gonococcal arthritis, nongonococcal arthritides include specific forms such as mycobacterial or Borrelia burgdorferi arthritis. Almost any bacterium can cause arthritis, provided that the route of penetration and the host response are suitable. Read More

View Article and Full-Text PDF

Group G streptococcal arthritis: case report and review of the literature.

Am J Med Sci 1997 Apr;313(4):239-43

Department of Medicine, University of Tennessee, Memphis, USA.

Nongonococcal septic arthritis in adults is usually caused by infections with staphylococcal or streptococcal species. In patients with underlying diseases, especially those with chronic joint disease or malignancy, bacterial isolates from infected joint spaces may include group G streptococci. Occasionally, group G streptococcal arthritis may occur in otherwise healthy individuals. Read More

View Article and Full-Text PDF

Monarthritis: differential diagnosis.

Authors:
K Sack

Am J Med 1997 Jan;102(1A):30S-34S

Department of Medicine, University of California, San Francisco 94143-0326, USA.

Acute monarthritis should be regarded as infectious until proved otherwise. Early evaluation is crucial because of the capacity of some infectious agents to destroy cartilage rapidly. The history and physical examination can provide highly suggestive clues, but a definitive diagnosis may depend on arthrocentesis and analysis of synovial fluid. Read More

View Article and Full-Text PDF
January 1997

Reactive arthritis in patients attending an urban sexually transmitted diseases clinic.

Arthritis Rheum 1996 Jul;39(7):1172-7

University of Alabama at Birmingham, USA.

Objective: To assess the prevalence, clinical manifestations, associated genital infections, and HLA associations of reactive arthritis (ReA) among patients attending an urban sexually transmitted diseases (STD) clinic.

Methods: Using a standardized questionnaire, 271 consecutive adults, primarily black, with possible or proven Chlamydia trachomatis genital infection were screened for symptoms of ReA. A followup questionnaire was administered 6 weeks later by mail. Read More

View Article and Full-Text PDF

Change in the epidemiology of Reiter's syndrome (reactive arthritis) in the post-AIDS era? An analysis of cases appearing in the Greek Army.

J Rheumatol 1995 Feb;22(2):252-4

Department of Rheumatology, 401 General Army Hospital of Athens, Greece.

Objective: During the last 5 years we observed a significant decrease in the incidence of newly established cases of Reiter's syndrome (reactive arthritis) in Greek Army personnel. Our study was initiated to validate this observation and to evaluate a possible change in the prevalence of Reiter's syndrome (RS) associated infections.

Methods: The case records of patients with reactive arthritis (ReA) admitted during the periods 1980-83 and 1989-92 at a large Army Hospital were studied retrospectively and the cases of RS were reviewed. Read More

View Article and Full-Text PDF
February 1995

Immunopathological features of rat Staphylococcus aureus arthritis.

Infect Immun 1994 Jun;62(6):2334-44

Department of Clinical Immunology, University of Göteborg, Sweden.

Staphylococcus aureus is the most common bacterial species found in nongonococcal bacterial arthritis in humans. We present the first description, to our knowledge, of an outbreak of spontaneous staphylococcal arthritis in a rat colony. In a group of 10 rats, 9 displayed arthritis. Read More

View Article and Full-Text PDF

Nongonococcal bacterial arthritis.

Rheum Dis Clin North Am 1993 May;19(2):311-31

Division of Clinical Immunology and Rheumatolog, University of Alabama, Birmingham.

The most salient features of nongonococcal bacterial arthritis are reviewed. Factors such as life expectancy, prosthetic joints, arthroscopies, the spread of the AIDS epidemic, and of methicillin-resistant Staphylococcus aureus as modifiers of the course of these arthritides are discussed. Read More

View Article and Full-Text PDF

Sexually transmitted arthritis syndromes.

Authors:
A Keat

Med Clin North Am 1990 Nov;74(6):1617-31

Department of Rheumatology, Charing Cross and Westminster Medical School, Westminster Hospital, London, England.

Sexually transmitted infections may provoke a wide variety of rheumatic lesions. Disseminated N. gonorrhoeae infection leads to septic arthritis, which may be rapidly destructive but which responds promptly to appropriate antibiotic therapy. Read More

View Article and Full-Text PDF
November 1990

Outbreak of spontaneous staphylococcal arthritis and osteitis in mice.

Arthritis Rheum 1990 Nov;33(11):1739-44

Department of Rheumatology, University of Göteborg, Sweden.

Staphylococcus aureus is the most common bacterial species found in association with nongonococcal bacterial arthritis in humans. We present here the first description of spontaneous bacterial arthritis and osteitis in mice. Clinically, the most obvious findings were swelling and/or ankylosis of hindpaws and nodose changes of the tail. Read More

View Article and Full-Text PDF
November 1990

Group C streptococcal arthritis: case report and review.

Rev Infect Dis 1990 Sep-Oct;12(5):829-37

Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710.

Streptococci account for approximately 15%-20% of cases of nongonococcal septic arthritis. The majority of these are due to group A streptococci, but group B and group G streptococci are being isolated more frequently. We present a case of group C streptococcal arthritis and summarize nine additional cases reported in the literature. Read More

View Article and Full-Text PDF
December 1990

A 2-year quantitative assessment of Chlamydia trachomatis in a sexually transmitted diseases clinic population by the MicroTrak direct smear immunofluorescence test.

Int J STD AIDS 1990 Jul;1(4):264-7

Division of Sexually Transmitted Diseases, Clinical Research Centre, Harrow, Middlesex, UK.

The MicroTrak direct smear immunofluorescence test was used to determine the prevalence of Chlamydia trachomatis elementary bodies (EBs) in groups of patients in various clinical categories, most of whom were seen in a clinic for sexually transmitted diseases (STD). Overall, 8138 adequate specimens were tested, of which 14.3% were found to contain chlamydial EBs. Read More

View Article and Full-Text PDF

Septic arthritis in the geriatric population.

J Okla State Med Assoc 1989 Dec;82(12):622-5

Septic arthritis has emerged as an important infection in geriatric patients. Between 25% and 50% of all cases of nongonococcal bacterial arthritis in nonprosthetic joints occur in patients over the age of sixty years. Thirty-three percent of nongonococcal septic arthritis occurs in the geriatric population. Read More

View Article and Full-Text PDF
December 1989

Polyarticular septic arthritis.

J Rheumatol 1986 Dec;13(6):1105-7

Seven adult patients with nongonococcal polyarticular septic arthritis are presented with a literature review of the clinical features of polyarticular bacterial infection. Polyarticular septic arthritis occurred in 19% of reported cases of septic arthritis in adults. Similar to monoarticular disease, the knee was the most commonly affected joint, and Staphylococcus aureus was the most frequently isolated microorganism. Read More

View Article and Full-Text PDF
December 1986

Chlamydia trachomatis infections in men with Reiter's syndrome.

Ann Intern Med 1984 Feb;100(2):207-13

Chlamydia trachomatis was isolated from 9 of 19 men with acute, nondiarrheal Reiter's syndrome who had not recently taken antibiotics. None of 8 untreated men with other forms of arthritis were infected with this organism. Chlamydia trachomatis-specific antibody titers and cellular immune responses were positive significantly more often in 35 treated and untreated men with acute, nondiarrheal Reiter's syndrome than in 7 men with diarrhea-associated Reiter's syndrome and 8 men with other forms of arthritis. Read More

View Article and Full-Text PDF
February 1984

Nongonococcal urethritis.

Authors:
W R Bowie

Urol Clin North Am 1984 Feb;11(1):55-64

Nongonococcal urethritis is a frequent genital infection, in most cases caused by Chlamydia trachomatis or Ureaplasma urealyticum. Diagnosis requires demonstration of urethritis and exclusion of Neisseria gonorrhoeae infection. Preferred treatment is seven days of tetracycline hydrochloride or doxycycline, to both the patient and partners. Read More

View Article and Full-Text PDF
February 1984

The association of Mycoplasma hominis with arthritis.

Sex Transm Dis 1983 Oct-Dec;10(4 Suppl):341-4

The facts that mycoplasmal arthritis occurs naturally in various animal species and can be induced experimentally have been the main reasons for searching for evidence of mycoplasmal infection in the joints of patients with rheumatoid arthritis. There is, however, no evidence that Mycoplasma hominis is involved in this disease. On the other hand, M. Read More

View Article and Full-Text PDF

Limulus assay for bacterial endotoxin in synovial fluid.

Ann Rheum Dis 1983 Oct;42(5):571-4

The limulus assay for the detection of bacterial endotoxin has been applied to the study of synovial fluid. Three of 5 patients (60%) with culture-positive gonococcal arthritis had positive SF limulus assay results; as did 2 of 11 (18%) with presumptive evidence of gonococcal arthritis, 3 of 6 (50%) with nongonococcal infectious arthritis, and none of 47 patients with noninfectious arthritis. Endotoxin levels ranged from 0. Read More

View Article and Full-Text PDF
October 1983

Evidence of chlamydial involvement in the development of arthritis.

Authors:
M Kousa

Scand J Infect Dis Suppl 1982 ;32:116-21

The isolation and immunological studies reviewed here appear to have proved that there is an association with Chlamydia trachomatis in reactive arthritis, and particularly in Reiter's disease. This condition, which occurs predominantly in young men, usually is precipitated by infection, sometimes enteritic but at present more commonly sexually transmitted. In the case of nongonococcal urethritis, C. Read More

View Article and Full-Text PDF
December 1982