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Septic knee arthritis in Crohn’s disease biological therapy-free patient. Case report
A 52-year-old woman with Crohn’s disease presented with septic arthrtis of the knee. This condition coincided with a symptomatic flare of her Crohn’s disease due to an ileal inflammatory stenosis, manifested as a phlegmonous mass palpable in the right lower quadrant and a small bowel obstruction. Re...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Carol Davila University Press
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4656959/ https://www.ncbi.nlm.nih.gov/pubmed/26664477 |
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author | Pop, C Calagiu, D Jantea, P Nemes, R |
author_facet | Pop, C Calagiu, D Jantea, P Nemes, R |
author_sort | Pop, C |
collection | PubMed |
description | A 52-year-old woman with Crohn’s disease presented with septic arthrtis of the knee. This condition coincided with a symptomatic flare of her Crohn’s disease due to an ileal inflammatory stenosis, manifested as a phlegmonous mass palpable in the right lower quadrant and a small bowel obstruction. Results of synovial fluid cultures showed the presence of Gram-negative bacillus, Klebsiella pneumoniae and the CT scan images were highly suggestive of abdominal abscess within Crohn’s disease. The patient’s condition improved after following an antibiotic treatment and after the initiation of Anti-TNF-alpha agent Adalimumab, with no further exacerbation. Septic arthritis in Crohn’s disease should be considered to have a communicating source of sepsis consisting of an abdominal abscess or fistula. Abbreviations: Anti-TNF-alpha agent = anti tumor necrosis factor alpha agent, 5-ASA = 5-aminosalicylic acid |
format | Online Article Text |
id | pubmed-4656959 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Carol Davila University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-46569592015-12-10 Septic knee arthritis in Crohn’s disease biological therapy-free patient. Case report Pop, C Calagiu, D Jantea, P Nemes, R J Med Life Case Presentations A 52-year-old woman with Crohn’s disease presented with septic arthrtis of the knee. This condition coincided with a symptomatic flare of her Crohn’s disease due to an ileal inflammatory stenosis, manifested as a phlegmonous mass palpable in the right lower quadrant and a small bowel obstruction. Results of synovial fluid cultures showed the presence of Gram-negative bacillus, Klebsiella pneumoniae and the CT scan images were highly suggestive of abdominal abscess within Crohn’s disease. The patient’s condition improved after following an antibiotic treatment and after the initiation of Anti-TNF-alpha agent Adalimumab, with no further exacerbation. Septic arthritis in Crohn’s disease should be considered to have a communicating source of sepsis consisting of an abdominal abscess or fistula. Abbreviations: Anti-TNF-alpha agent = anti tumor necrosis factor alpha agent, 5-ASA = 5-aminosalicylic acid Carol Davila University Press 2015 /pmc/articles/PMC4656959/ /pubmed/26664477 Text en ©Carol Davila University Press http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Presentations Pop, C Calagiu, D Jantea, P Nemes, R Septic knee arthritis in Crohn’s disease biological therapy-free patient. Case report |
title | Septic knee arthritis in Crohn’s disease biological
therapy-free patient. Case report
|
title_full | Septic knee arthritis in Crohn’s disease biological
therapy-free patient. Case report
|
title_fullStr | Septic knee arthritis in Crohn’s disease biological
therapy-free patient. Case report
|
title_full_unstemmed | Septic knee arthritis in Crohn’s disease biological
therapy-free patient. Case report
|
title_short | Septic knee arthritis in Crohn’s disease biological
therapy-free patient. Case report
|
title_sort | septic knee arthritis in crohn’s disease biological
therapy-free patient. case report |
topic | Case Presentations |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4656959/ https://www.ncbi.nlm.nih.gov/pubmed/26664477 |
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