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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0319267
Code Inist : 002B05B02J. Création : 01/03/1996.