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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine
2021
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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. |
format | Online Article Text |
id | pubmed-8143809 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine |
record_format | MEDLINE/PubMed |
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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