logo BDSP

Base documentaire

  1. Epidemiology, etiology, and clinical features of septic arthritis in children younger than 24 months.

    Article - En anglais


    To examine the incidence, etiology, and clinical features of septic arthritis in patients younger than 24 months.


    Retrospective, 1988 through 1993 period, chart review-based survey.


    All children with bacteriologically proved septic arthritis that was diagnosed at a medical center serving southern Israel (population 320 000).

    Septic arthritis was defined by clinical evidence of joint inflammation and a positive synovial fluid or blood culture, antigen detection test, or a standard tube agglutination titer of 160 or greater for Brucella species.




    During the 6-year period, 40 children had septic arthritis diagnosed.

    Twenty-six (65%) were male.

    The annual incidence of septic arthritis was 37.1 per 100000.

    The two most common organisms isolated were Kingella kingae in 19 (48%) and haemophilus influenzae type b in eight (20%). The clinical presentation was frequently mild : a body temperature of less than 38.3oC was recorded in 14 (35%) of 40 children, leukocyte count of less than 15x109/L in 13 (34%) of 38, and erythrocyte sedimentation rate of less than 30 mm per hour in four (11%) of 35.

    In eight (36%) of 22 patients, less than 50x109/L leukocytes were counted in the synovial fluid.


    The diagnosis of septic arthritis in groung children requires a high index of suspicion, and the disease cannot be excluded on the basis of lack of fever or normal results of laboratory tests.

    Mots-clés Pascal : Bactériose, Infection, Nouveau né, Homme, Nourrisson, Epidémiologie, Israël, Asie, Système ostéoarticulaire pathologie, Arthropathie, Arthrite septique

    Mots-clés Pascal anglais : Bacteriosis, Infection, Newborn, Human, Infant, Epidemiology, Israel, Asia, Diseases of the osteoarticular system, Arthropathy, Septic arthritis

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0319267

    Code Inist : 002B05B02J. Création : 01/03/1996.