The predictive value of synovial glucose level in septic arthritis.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 30882559.
- Also identified by DOI 10.1097/BPB.0000000000000628.
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Abstract
The aim of this study was to investigate the ability of the joint fluid glucose level to detect septic arthritis. Thirty joints in 30 patients with suspected septic arthritis were evaluated. When glucose level was less than 40 mg/dl, we performed arthrotomy. Eleven patients had joint fluid glucose levels less than 40 mg/dl. All 11 (100%) had positive joint fluid cultures. Conversely, 19 patients had synovial glucose levels of at least 40 mg/dl. Six (31.6%) of these had positive joint fluid cultures. The remaining 13 were diagnosed with transient synovitis. Patients with joint fluid glucose levels less than 40 mg/dl should be suspected septic arthritis.
Medical subject headings
- Arthritis, Infectious
- Arthrocentesis
- Glucose
- Synovial Fluid