کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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6222061 | 1607449 | 2014 | 6 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Differentiating Kingella kingae Septic Arthritis of the Hip from Transient Synovitis in Young Children Differentiating Kingella kingae Septic Arthritis of the Hip from Transient Synovitis in Young Children](/preview/png/6222061.png)
ObjectiveTo conduct a retrospective multicenter study to assess the ability of a predictive algorithm to differentiate between children with Kingella kingae infection of the hip and those with transient synovitis.Study designMedical charts of 25 Israeli and 9 Spanish children aged 6-27 months with culture-proven K kingae arthritis of the hip were reviewed, and information on the 4 variables included in the commonly used Kocher prediction algorithm (body temperature, refusal to bear weight, leukocytosis, and erythrocyte sedimentation rate) was gathered.ResultsPatients with K kingae arthritis usually presented with mildly abnormal clinical picture and normal serum levels of or near-normal acute-phase reactants. Data on all 4 variables were available for 28 (82%) children, of whom 1 child had none, 6 children had 1, 13 children had 2, 5 had 3, and only 3 children had 4 predictors, implying â¤40% probability of infectious arthritis in 20 (71%) children.ConclusionsBecause of the overlapping features of K kingae arthritis of the hip and transient synovitis in children younger than 3 years of age, Kocher predictive algorithm is not sensitive enough for differentiating between these 2 conditions. To exclude K kingae arthritis, blood cultures and nucleic acid amplification assay should be performed in young children presenting with irritation of the hip, even in the absence of fever, leukocytosis, or a high Kocher score.
Journal: The Journal of Pediatrics - Volume 165, Issue 5, November 2014, Pages 985-989.e1