RESUMO
Moraxella osloensis pyarthrosis of the knee joint is an unusual infection. The diagnosis can be quite difficult since the organism is fastidious in its growth characteristics. This case report presents an adult with M. osloensis sepsis of the knee, which could only be diagnosed by arthroscopic synovial biopsy and culture. Moreover, arthroscopy played a critical role in the definitive therapy.
Assuntos
Artrite Infecciosa/diagnóstico , Artroscopia , Infecções Bacterianas/diagnóstico , Articulação do Joelho , Biópsia , Humanos , Masculino , Pessoa de Meia-Idade , Moraxella/isolamento & purificação , Líquido Sinovial/microbiologiaRESUMO
Recent behavioral formulations suggest that child abuse can often be conceptualized in terms of skill deficits of the parent. In the present case study, training was used to improve an abusive parent's anger-assertion, child management, and personal problem-solving skills; deficits in all three areas were functionally related to prior episodes of violence. Treatment across these skill areas was introduced in multiple baseline fashion. The effectiveness of treatment was demonstrated by assessments of assertion, child management, and problem-solving knowledge following each training session; parent monitoring data on the frequency of child-related and anger problems at home throughout the intervention; performance on skill generalization measures; and objectively-rated parent-child interactions during pre- and post-training home observation probes.
