Clinical study of culture-proven cases of non-gonococcal arthritis.

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dc.contributor.authorDeesomchok, Uen_US
dc.contributor.authorTumrasvin, Ten_US
dc.date.accessioned2009-05-27T19:11:25Z
dc.date.available2009-05-27T19:11:25Z
dc.date.issued1990-11-01en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractBetween 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.affiliationDepartment of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.en_US
dc.identifier.citationDeesomchok U, Tumrasvin T. Clinical study of culture-proven cases of non-gonococcal arthritis. Journal of the Medical Association of Thailand. 1990 Nov; 73(11): 615-23en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/40644
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAge Factorsen_US
dc.subject.meshAgeden_US
dc.subject.meshArthritis, Infectious --microbiologyen_US
dc.subject.meshEnterobacteren_US
dc.subject.meshEnterobacteriaceae Infectionsen_US
dc.subject.meshFemaleen_US
dc.subject.meshGonorrheaen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshStaphylococcal Infectionsen_US
dc.subject.meshStaphylococcus aureusen_US
dc.subject.meshStreptococcal Infectionsen_US
dc.subject.meshSynovial Fluid --microbiologyen_US
dc.titleClinical study of culture-proven cases of non-gonococcal arthritis.en_US
dc.typeJournal Articleen_US
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