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Accidental Arthrotomy Causing Aseptic Monoarthritis Due to Agave Sap: A Case Report

INTRODUCTION: Aseptic inflammatory arthritis has been reported from thorns or cactus needles after inadvertent arthrotomy. Agave sap irritants may cause an aseptic inflammatory arthritis mimicking a septic joint. CASE REPORT: A 27-year-old male presented with left knee pain and swelling two hours af...

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Detalles Bibliográficos
Autores principales: Ontiveros, Sam T., Minns, Alicia B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8143809/
https://www.ncbi.nlm.nih.gov/pubmed/34437016
http://dx.doi.org/10.5811/cpcem.2021.4.51835
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author Ontiveros, Sam T.
Minns, Alicia B.
author_facet Ontiveros, Sam T.
Minns, Alicia B.
author_sort Ontiveros, Sam T.
collection PubMed
description INTRODUCTION: Aseptic inflammatory arthritis has been reported from thorns or cactus needles after inadvertent arthrotomy. Agave sap irritants may cause an aseptic inflammatory arthritis mimicking a septic joint. CASE REPORT: A 27-year-old male presented with left knee pain and swelling two hours after suffering an accidental stab wound to his left lateral knee by an agave plant spine. Synovial fluid white blood cell count was 92,730 mm(3) with 75% neutrophils and no crystals. Surgical washout was remarkable for turbid fluid and no foreign body. Synovial fluid and blood cultures remained without growth. At two-week follow-up, the patient had recovered. CONCLUSION: Penetrating injuries from agave thorns can cause an inflammatory arthritis that mimics septic arthritis.
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spelling pubmed-81438092021-05-28 Accidental Arthrotomy Causing Aseptic Monoarthritis Due to Agave Sap: A Case Report Ontiveros, Sam T. Minns, Alicia B. Clin Pract Cases Emerg Med Case Report INTRODUCTION: Aseptic inflammatory arthritis has been reported from thorns or cactus needles after inadvertent arthrotomy. Agave sap irritants may cause an aseptic inflammatory arthritis mimicking a septic joint. CASE REPORT: A 27-year-old male presented with left knee pain and swelling two hours after suffering an accidental stab wound to his left lateral knee by an agave plant spine. Synovial fluid white blood cell count was 92,730 mm(3) with 75% neutrophils and no crystals. Surgical washout was remarkable for turbid fluid and no foreign body. Synovial fluid and blood cultures remained without growth. At two-week follow-up, the patient had recovered. CONCLUSION: Penetrating injuries from agave thorns can cause an inflammatory arthritis that mimics septic arthritis. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2021-05-06 /pmc/articles/PMC8143809/ /pubmed/34437016 http://dx.doi.org/10.5811/cpcem.2021.4.51835 Text en Copyright: © 2021 Ontiveros et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Case Report
Ontiveros, Sam T.
Minns, Alicia B.
Accidental Arthrotomy Causing Aseptic Monoarthritis Due to Agave Sap: A Case Report
title Accidental Arthrotomy Causing Aseptic Monoarthritis Due to Agave Sap: A Case Report
title_full Accidental Arthrotomy Causing Aseptic Monoarthritis Due to Agave Sap: A Case Report
title_fullStr Accidental Arthrotomy Causing Aseptic Monoarthritis Due to Agave Sap: A Case Report
title_full_unstemmed Accidental Arthrotomy Causing Aseptic Monoarthritis Due to Agave Sap: A Case Report
title_short Accidental Arthrotomy Causing Aseptic Monoarthritis Due to Agave Sap: A Case Report
title_sort accidental arthrotomy causing aseptic monoarthritis due to agave sap: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8143809/
https://www.ncbi.nlm.nih.gov/pubmed/34437016
http://dx.doi.org/10.5811/cpcem.2021.4.51835
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