Artritis séptica no gonocóccica en el Hospital Universitario San Vicente de Paúl (1984-1992)
Non-gonococcal Septic Arthritis at Hospital Universitario San Vicente de Paul, Medellin, Colombia, 1984-1992
| dc.creator | Sierra Lebrun, Mónica | |
| dc.creator | Manjarrés Iglesias, Gilberto | |
| dc.creator | Ramírez Gómez, Luis Alberto | |
| dc.creator | Uribe Uribe, Oscar | |
| dc.date | 2021-06-15T20:57:06Z | |
| dc.date | 2021-06-15T20:57:06Z | |
| dc.date | 1994 | |
| dc.date.accessioned | 2023-08-28T20:04:16Z | |
| dc.date.available | 2023-08-28T20:04:16Z | |
| dc.identifier | 0121-0793 | |
| dc.identifier | http://hdl.handle.net/10495/20152 | |
| dc.identifier | 2011-7965 | |
| dc.identifier.uri | https://repositorioslatinoamericanos.uchile.cl/handle/2250/8473425 | |
| dc.description | RESUMEN: La artritis séptica no gonocóccica es una urgencia en reumatología. Su diagnóstico y tratamiento tempranos evitan deformidades e incapacidades articulares. Se realizó un estudio retrospectivo de esta forma de artritis, en pacientes del Hospital Universitario San Vicente de Paúl, de Medellín, entre 1984 y 1992, para evaluar su forma de presentación, los factores predisponentes, el agente causal, las articulaciones comprometidas y las complicaciones. De una revisión de 302 historias clínicas de pacientes mayores de 12 años con presunción diagnóstica de artritis séptica se hallaron 54 con aislamiento de la bacteria causal a partir del líquido articular, los hemocultivos O ambos; dichos pacientes con etiología comprobada motivan este informe. El grupo estuvo formado por 38 hombres (70.4%) y 16 mujeres (29.6%) cuya edad promedio era 27 años. Predominó Staphylococcus aureus (43 pacientes; 79.6%) seguido por bacilos Gram negativos (9 pacientes; 16.7%); hubo dos casos debidos a estreptococos (3.7%). La enfermedad fue monoarticular en 49 casos (90.7%) y biarticular en 5. Comprometió, en su orden, la rodilla (30 casos; 55.6%), la cadera (19; 35.2%), el tobillo y el hombro (tres casos cada uno), la articulación sacroilíaca (2 casos), la metacarpofalángica y la esternoclavicular (un caso de cada una). Como complicaciones se hallaron 13 casos de sepsis, 13 de osteomielitis, 6 de bronconeumonía, 3 de insuficiencia renal aguda, 1 de coagulación intravascular diseminada y 1 de pericarditis. Este total de 37 complicaciones afectó a 23 pacientes. Ningún paciente falleció. En cuanto a los factores predisponentes y las enfermedades subyacentes se detectaron los siguientes: infección de tejidos blandos en 9 pacientes, endometritis en 3, LES o linfoma no Hodgkin en 2 pacientes cada uno, artritis reumatoidea o inyección intraarticular en un paciente cada una. La consulta tuvo lugar después de la primera semana de evolución en 43 pacientes (79.6%). | |
| dc.description | ABSTRACT: Non-gonococcal septic arthritis is a rheumatological emergency; early diagnosis and treatment prevent deformities and disabilities. A retrospective study of this disease was carried out for the period 1984-1992, at Hospital Universitario San Vicente de Paúl, Medellín, Colombia; 54 patients older than 12 years were found that presented clinical manifestations of septic arthritis and in whom etiologic diagnosis was established by either joint fluid or blood culture. The following aspects were Included in the survey: form of presentation, predisposing factors, etiology and complications. There were 38 males (70.4%) and 16 females (29.6%); average age was 27 years. The disease was monoarticular in 49 cases (90.7%) and affected 2 joints in 5; in decreasing order of frequency the following joints were Involved: knee (30 cases; 55.6%); hip (19 cases; 35.2%), ankle and shoulder (3 cases each), sacro-iIiac joint (2 cases), metacarpophalangic and sternoclavicular joints (1 case each). The infection was due to Staphylococcus aureus in 43 cases (79.6%) followed by Gram-negative bacilli (9 cases; 16.7%); the remaining 2 cases were streptococcal. Complications were sepsis (13 cases), ostomyelitis (13 cases), bronchopneumonia (6 cases), renal insufficiency (3 cases), Intravascular disseminated coagulation (1 case) and pericarditis (1 case); these 37 complicating events occurred in 23 patients. Predisposing factors and underlying diseases were as follows: soft tissue Infection (9 patients), endometritis (3 patients), systemic erythematous lupus (2 patients), non-Hodgkin Iymphoma (2 patients), rheumatoid arthritis and intra-articular Injection (1 patient each). Evolution had been longer than one week in 43 patients (79.6%) when they first attended the Hospital; despite the delay there were no fatalities. | |
| dc.format | 4 | |
| dc.format | application/pdf | |
| dc.format | application/pdf | |
| dc.language | spa | |
| dc.publisher | Universidad de Antioquia, Facultad de Medicina | |
| dc.publisher | Medellín, Colombia | |
| dc.relation | Iatreia | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.rights | http://creativecommons.org/licenses/by-nc-sa/2.5/co/ | |
| dc.rights | http://purl.org/coar/access_right/c_abf2 | |
| dc.rights | https://creativecommons.org/licenses/by-nc-sa/4.0/ | |
| dc.subject | Artritis Infecciosa | |
| dc.subject | Arthritis, Infectious | |
| dc.subject | Infecciones Estafilocócicas | |
| dc.subject | Staphylococcal Infections | |
| dc.title | Artritis séptica no gonocóccica en el Hospital Universitario San Vicente de Paúl (1984-1992) | |
| dc.title | Non-gonococcal Septic Arthritis at Hospital Universitario San Vicente de Paul, Medellin, Colombia, 1984-1992 | |
| dc.type | info:eu-repo/semantics/article | |
| dc.type | info:eu-repo/semantics/publishedVersion | |
| dc.type | http://purl.org/coar/resource_type/c_2df8fbb1 | |
| dc.type | https://purl.org/redcol/resource_type/ART | |
| dc.type | Artículo de investigación |