The Journal of Emergency Medicine
Volume 32, Issue 1 , Pages 23-26 , January 2007

Does the presence of crystal arthritis rule out septic arthritis?

  • Kaushal Shah, MD

      Affiliations

    • Department of Emergency Medicine, St. Luke’s-Roosevelt Hospital, New York, New York
    • Corresponding Author InformationReprint Address: Kaushal Shah, md, Department of Emergency Medicine, St. Luke’s-Roosevelt Hospital, 1111 Amsterdam Avenue, New York, NY 10025
    • ,
  • Jeffrey Spear

      Affiliations

    • University of Missouri Medical School, Columbia, Missouri
    • ,
  • Larry A. Nathanson, MD

      Affiliations

    • Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts
    • ,
  • Jon McCauley, MD

      Affiliations

    • Department of Emergency Medicine, St. Luke’s-Roosevelt Hospital, New York, New York
    • ,
  • Jonathan A. Edlow, MD

      Affiliations

    • Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts

Received 7 July 2004 ,Revised 24 March 2006 ,Accepted 5 July 2006.

References 

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  2. Gupta MN, Sturrock RD, Field M. A prospective 2-year study of 75 patients with adult-onset septic arthritis. Rheumatology (Oxford). 2001;40:24–30
  3. Baker DG, Schumacher HR. Acute monoarthritis. N Engl J Med. 1993;329:1013–1020
  4. Swan A, Amer H, Dieppe P. The value of synovial fluid assays in the diagnosis of joint disease: a literature survey. Ann Rheum Dis. 2002;61:493–498
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  17. Ilahi OA, Swarna U, Hamill RJ, et al. Concomitant crystal and septic arthritis. Orthopedics. 1996;19:613–617
  18. Gordon TP, Reid C, Rozenbilds MA, et al. Crystal shedding in septic arthritis: case reports and in vivo evidence in an animal model. Aust N Z J Med. 1986;16:336–340
  19. Terkeltaub RA. Gout and mechanisms of crystal-induced inflammation. Curr Opin Rheumatol. 1993;5:510–516
  20. Kaandorp CJ, Van Schaardenburg D, Krijnen P, et al. Risk factors for septic arthritis in patients with joint disease (A prospective study). Arthritis Rheum. 1995;38:1819–1825
  21. Lee CH, Chen YJ, Ueng SW, et al. Septic arthritis of the ankle joint. Chang Gung Med J. 2000;23:420–426
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  23. Terkeltaub RA. Clinical practice (Gout). N Engl J Med. 2003;349:1647–1655

PII: S0736-4679(06)00631-7

doi: 10.1016/j.jemermed.2006.07.019

The Journal of Emergency Medicine
Volume 32, Issue 1 , Pages 23-26 , January 2007

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