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Septic arthritis as a presentation of Crohn's disease.
- Source :
-
Journal of the Royal Army Medical Corps [J R Army Med Corps] 2011 Sep; Vol. 157 (3), pp. 246-7. - Publication Year :
- 2011
-
Abstract
- A 42-year-old man with colonic Crohn's disease presented to the orthopaedic department with septic arthritis of the knee with frank intra-articular pus, which persisted despite repeated joint washouts. This coincided with a symptomatic flare of his colonic Crohns. Imaging revealed a fistulous connection from the proximal sigmoid colon into the pelvis, a psoas abscess, myositis of the musculature around the left pelvic girdle and left thigh and two focal collections almost surrounding the distal femur. The knee symptoms only settled after laparotomy and resection of the diseased sigmoid colon and fistula. This case report demonstrates an unusual presentation of fistulating Crohns disease as septic arthritis.
- Subjects :
- Adult
Arthritis, Infectious diagnosis
Arthritis, Infectious surgery
Crohn Disease surgery
Fistula etiology
Fistula surgery
Humans
Klebsiella Infections etiology
Klebsiella Infections surgery
Magnetic Resonance Imaging
Male
Psoas Abscess etiology
Psoas Abscess surgery
Sigmoid Diseases etiology
Sigmoid Diseases surgery
Staphylococcal Infections diagnosis
Staphylococcal Infections surgery
Arthritis, Infectious etiology
Crohn Disease complications
Knee Joint
Staphylococcal Infections etiology
Subjects
Details
- Language :
- English
- ISSN :
- 0035-8665
- Volume :
- 157
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of the Royal Army Medical Corps
- Publication Type :
- Academic Journal
- Accession number :
- 21977716
- Full Text :
- https://doi.org/10.1136/jramc-157-03-12