RESUMO
Acute septic arthritis is a common diagnosis usually seen by radiologists, internists, and family physicians; it is most commonly caused by pyogenic pathogens. In the majority of patients, it is possible to identify, the infection mechanism: spread of infection can be due to hematogenous dissemination, a contiguous source of infection, direct inoculation, or surgical contamination. Radiologic findings include increase in articular space and central and marginal bone erosions; the first plain radiograph changes are seen 8-10 days after symptoms. We present the case of a 9-year-old girl with septic arthritis of right hip; in presenting this case we offer a brief summary of clinical features and main imaging findings of septic arthritis (plain radiographs, ultrasonography, and gammagraphy).
Assuntos
Artrite Infecciosa/diagnóstico , Articulação do Quadril , Doença Aguda , Criança , HumanosRESUMO
La artritis séptica de la cadera, es una alteración relativamente común, que se presenta en cualquier gabinete de Radiología, en la consulta del internista o del médico general y familiar; es la infección de una articulación que suele deberse a gérmenes piógenos. En la mayoría de los pacientes puede identificarse el mecanismo de contaminación: la infección puede deberse a diseminación hematógena, a extensión desde una fuente contigua, a inoculación directa o a contaminación quirúrgica. Los hallazgos radiológicos incluyen aumento del espacio articular y erosiones óseas, centrales y marginales; las primeras alteraciones óseas aparecen 8 a 10 días después del comienzo de los síntomas. Presentamos el caso de una niña de 9 años de edad con artritis séptica de la cadera derecha, y una breve revisión de las características clínicas y los hallazgos por imagen en esta patología.
Acute septic arthritis is a common diagnosis usually seen by radiologists, internists, and family physicians; it is most commonly caused by pyogenic pathogens. In the majority of patients, it is possible to identify the infection mechanism: spread of infection can be due to hematogenous dissemination, a contiguous source of infection, direct inoculation, or surgical contamination. Radiologic findings include increase in articular space and central and marginal bone erosions; the first plain radiograph changes are seen 8-10 days after symptoms. We present the case of a 9-year-old girl with septic arthritis of right hip; in presenting this case we offer a brief summary of clinical features and main imaging findings of septic arthritis (plain radiographs, ultrasonography, and gammagraphy).