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There are no set standards for the diagnosis of suspected transient synovitis, so the amount of investigations will depend on the need to exclude other, more serious diseases. [8] It is of great importance to exclude the diagnosis of septic arthritis. This is because if septic arthritis is missed in children, grave complications can occur.
[3] [4] Septic arthritis is an orthopedic emergency, which, if treatment is delayed, can lead to irreversible joint damage. Septic arthritis occurs more often in childhood than at any other time. [4] [5] Kocher criteria are a useful guide to the diagnosis of septic arthritis in children, especially in the hip, one of the most frequently ...
Acute exacerbation of juvenile idiopathic arthritis and transient synovitis of the hip both of which are non-septic conditions may mimic septic arthritis. More serious and life-threatening disorders as bone malignancies e.g. Ewing sarcoma and osteosarcoma may mimic septic arthritis associated with concurrent acute hematogenous osteomyelitis.
Arthritis is a form of arthropathy that involves inflammation of one or more joints, [3] [4] while the term arthropathy may be used regardless of whether there is inflammation or not. Joint diseases can be classified as follows: [citation needed] Arthritis; Infectious arthritis; Septic arthritis (infectious) Tuberculosis arthritis; Reactive ...
Gonococcal arthritis (a bacterial arthritis) is also initially migratory and can involve tendons around the wrists and ankles. Sometimes arthritis is in an undifferentiated stage (i.e. none of the above criteria is positive), even if synovitis is witnessed and assessed with ultrasound imaging.
Synovitis may occur in association with arthritis as well as lupus, gout, and other conditions. Synovitis is more commonly found in rheumatoid arthritis than in other forms of arthritis, and can thus serve as a distinguishing factor, although it is also present in many joints affected with osteoarthritis .
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Arthritis caused by bacterial infection of the joint is termed septic arthritis and does not commonly affect multiple joints. It may notably be caused by gonococcus . Bacteria can also cause polyarthritis not by directly infecting the joints; instead, infection located elsewhere in the body can cause immune reaction , which becomes the direct ...