Acute pseudo-septic arthritis following viscosuplementation of the knee.

作者: Najia Hajjaj-Hassouni , Karima Benbouazza , Hanae Raissouni , Maryam Fourtassi , Meriem El Aadmi

DOI: 10.4314/PAMJ.V12I1

关键词:

摘要: A 70-year-old woman with a history of medial femoro-tibial compartment knee osteoarthritis was admitted for acute arthritis six days after second intra-articular injection Hyaluronic acid. The joint fluid inflammatory, no crystals, and laboratory tests showed marked inflammation leading to antibiotic treatment suspected septic arthritis. persistent symptoms negative results blood cultures led discontinuation the therapy 10 days. Anti-inflammatory rehabilitation relieved symptoms, patient discharged home 3 weeks her admission. Aseptic induced by repeated acid is most likely diagnosis. Physicians should be conscious this extremely severe complication.

参考文章(9)
Denlinger Jl, Balazs Ea, Viscosupplementation: a new concept in the treatment of osteoarthritis. The Journal of Rheumatology Supplement. ,vol. 39, pp. 3- 9 ,(1993)
D H Neustadt, Long-term efficacy and safety of intra-articular sodium hyaluronate (Hyalgan) in patients with osteoarthritis of the knee. Clinical and Experimental Rheumatology. ,vol. 21, pp. 307- 311 ,(2003)
Jodie Roos, Olivier Epaulard, Robert Juvin, Carole Chen, Patricia Pavese, Jean-Paul Brion, Acute pseudoseptic arthritis after intraarticular sodium hyaluronan Joint Bone Spine. ,vol. 71, pp. 352- 354 ,(2004) , 10.1016/J.JBSPIN.2003.09.001
Bruce A. Johnson, George K. Haines, Lisa A. Harlow, Alisa E. Koch, Adhesion molecule expression in human synovial tissue Arthritis & Rheumatism. ,vol. 36, pp. 137- 146 ,(1993) , 10.1002/ART.1780360203
SETH S. LEOPOLD, WINSTON J. WARME, PATRICK D. PETTIS, SUSAN SHOTT, INCREASED FREQUENCY OF ACUTE LOCAL REACTION TO INTRA-ARTICULAR HYLAN GF-20 (SYNVISC) IN PATIENTS RECEIVING MORE THAN ONE COURSE OF TREATMENT The Journal of Bone and Joint Surgery-American Volume. ,vol. 84, pp. 1619- 1623 ,(2002) , 10.2106/00004623-200209000-00015
C Bernardeau, B Bucki, F Liote, None, Acute arthritis after intra-articular hyaluronate injection: onset of effusions without crystal Annals of the Rheumatic Diseases. ,vol. 60, pp. 518- 520 ,(2001) , 10.1136/ARD.60.5.518
Gilda Clayburne, Sally Pullman-Mooar, H Ralph Schumacher, Marie Sieck, Pekka Mooar, Are there distinctive inflammatory flares after hylan g-f 20 intraarticular injections? The Journal of Rheumatology. ,vol. 29, pp. 2611- 2614 ,(2002)
A. Chalmers, J. P. Wade, D. G. Connell, M. P. E. Puttick, K. K. Rangno, Acute local reactions after intraarticular hylan for osteoarthritis of the knee. The Journal of Rheumatology. ,vol. 22, pp. 1311- 1314 ,(1995)