Clinical study of culture-proven cases of non-gonococcal arthritis.
dc.contributor.author | Deesomchok, U | en_US |
dc.contributor.author | Tumrasvin, T | en_US |
dc.date.accessioned | 2009-05-27T19:11:25Z | |
dc.date.available | 2009-05-27T19:11:25Z | |
dc.date.issued | 1990-11-01 | en_US |
dc.description | Chotmaihet Thangphaet. | en_US |
dc.description.abstract | Between 1976 and 1988, 101 cases of culture-proven non-gonococcal arthritis seen at the Medical Service of Chulalongkorn Hospital were studied. Seventy-three cases (72.3% of the total) were diagnosed by positive synovial fluid culture; the remainder (27.7%), by positive hemoculture only. Males (55.4%) were more commonly affected than females (44.6%). In patients with Gram-positive coccal infection, age distribution was equal; however, in cases of Gram-negative bacillary infection younger patients were more frequently affected. Gram-positive cocci (85.1%), particularly Staphylococcus aureus (47.5%), was the most common infective agent, followed in frequency by beta hemolytic streptococcal infection (28.7%) and Gram-negative bacillary infection (13.9%). Among the former (serologically grouped), group A streptococci (7.9%) comprised the most common agent followed by group G (4.9%), B (2.0%) and F (2.0%). There was no difference in the incidence of causative micro-organisms between the 70 cases seen during the period 1976 to 1985 and the 31 cases seen from 1986 to 1988. Although Enterbacter (4.9%) was the most common causes of Gram-negative bacillary infection, Pseudomonas pseudomalei, Samonella A and Samonella B were the only infective agents found during the period 1986 to 1988. Acute onset of disease (93.1%) and monoarticular arthritis (73.3%) were the main manifestations. The most commonly affected joints were the knee (52.5%), ankle (16.8%), elbow (10.9%), wrist (9.9%), hip (8.9%) and shoulder (7.9%). Fever and leukocytosis were commonly observed with positive hemoculture (56.4%). The presence of foci of infection was evident in 50.5 per cent of patients. The skin was the main source of Gram-positive cocci; the urinary tract, for Gram-negative bacilli.(ABSTRACT TRUNCATED AT 250 WORDS) | en_US |
dc.description.affiliation | Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. | en_US |
dc.identifier.citation | Deesomchok U, Tumrasvin T. Clinical study of culture-proven cases of non-gonococcal arthritis. Journal of the Medical Association of Thailand. 1990 Nov; 73(11): 615-23 | en_US |
dc.identifier.uri | https://imsear.searo.who.int/handle/123456789/40644 | |
dc.language.iso | eng | en_US |
dc.source.uri | https://www.mat.or.th/journal/all.php | en_US |
dc.subject.mesh | Adolescent | en_US |
dc.subject.mesh | Adult | en_US |
dc.subject.mesh | Age Factors | en_US |
dc.subject.mesh | Aged | en_US |
dc.subject.mesh | Arthritis, Infectious --microbiology | en_US |
dc.subject.mesh | Enterobacter | en_US |
dc.subject.mesh | Enterobacteriaceae Infections | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Gonorrhea | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Male | en_US |
dc.subject.mesh | Middle Aged | en_US |
dc.subject.mesh | Staphylococcal Infections | en_US |
dc.subject.mesh | Staphylococcus aureus | en_US |
dc.subject.mesh | Streptococcal Infections | en_US |
dc.subject.mesh | Synovial Fluid --microbiology | en_US |
dc.title | Clinical study of culture-proven cases of non-gonococcal arthritis. | en_US |
dc.type | Journal Article | en_US |
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