A case of septic arthritis of the elbow joint in rheumatoid arthritis diagnosed by arthroscopic synovectomy.
Mod Rheumatol Case Rep
; 7(1): 24-27, 2023 01 03.
Article
em En
| MEDLINE
| ID: mdl-35639881
ABSTRACT
We report a case of methicillin-resistant Staphylococcus aureus (MRSA) septic arthritis of the elbow detected by arthroscopic synovectomy in an 81-year-old woman with rheumatoid arthritis (RA) who was initially diagnosed with a rheumatoid arthritis flare-up. The patient was administered abatacept, an antirheumatic biological agent, as the synovial fluid culture was negative. Destruction of the joint progressed despite medication, and the patient underwent arthroscopic synovectomy. MRSA was detected in the culture of the synovium that was collected intraoperatively, and septic arthritis was diagnosed. The infection subsided with anti-MRSA antibiotics, but the patient continued to experience moderate pain and limited motion. In RA patients, it might be difficult to differentiate minor findings from infection. Arthroscopic synovectomy is one of the selectable procedures that should be actively considered when infection is suspected.
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Base de dados:
MEDLINE
Assunto principal:
Artrite Reumatoide
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Artrite Infecciosa
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Antirreumáticos
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Articulação do Cotovelo
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Staphylococcus aureus Resistente à Meticilina
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article