Clinical and Experimental Rheumatology | |
Rare coexistence of gouty and septic arthritis: a report of 14 cases | |
Chia-Tse Weng1  Li-Hsin Lin1  An-Bang Wu1  Ming-Fei Liu1  Jiang-Wei Lee1  kuo-yuan Huang1  Nan-Yao Lee1  Chrong-Reen Wang1  Meng-Yu Weng1  | |
关键词: Gouty arthritis; septic arthritis; Staphylococcus aureus; Septic arthritis; gouty arthritis; | |
DOI : | |
学科分类:医学(综合) | |
来源: Pacini Editore SpA | |
【 摘 要 】
OBJECTIVES:To analyse the characteristic features of patients with coexistence of gouty arthritis and pyarthrosis at our university hospital in southern Taiwan, an area with high prevalence of hyperuricemia and gout.METHODS:A retrospective chart review was performed for patients who had concomitant gouty and septic arthritis from July 1998 to June 2008. Clinical and laboratory data of these patients were analysed. Furthermore, a comparison was made with published cases in English literature.RESULTS:Fourteen cases with coexistence of gouty arthritis and pyarthrosis have been identified during the past 10 years. There were 13 male and 1 female, all of Han Chinese in ethnicity, with ages ranging from 45 to 85 and an average of 63.7 years. At disease presentation, there were 11 oligoarticular cases (78.6%), 2 monoarticular cases (14.3%) and 1 polyarticular case (7.1%). Ankle and knee joints were most commonly involved. Bacteriological analyses demonstrated gram-positive cocci in 12 cases, of these 10 were oxacillin-sensitive Staphylococcus aureus (71.4%). Multiple tophi deposition was noted in 13 patients (92.9%) and among them 11 patients (84.6%) had associated chronic kidney disease.CONCLUSIONS:Different clinical presentations and bacteriological characteristics have been identified in the present series. While the mechanisms responsible for such a coexistence remain to be elucidated, these cases underline the importance of thorough evaluation of the aspirated synovial fluid. Our report adds a novel insight into the understanding of the clinical and microbiological manifestations of such a rare concurrence of gouty and septic arthritis.
【 授权许可】
Unknown
【 预 览 】
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RO201912020416819ZK.pdf | 136KB | download |