In children with new development of joint pain, two major diagnoses to consider are septic arthritis and transient synovitis
Our patientโs presentation more consistent with septic arthritis due to fever and refusal to bear weight, and therefore patient requires immediate drainage of joint space even before administering antibiotics because of risk for persistent damage to joint
Transient synovitis: Afebrile, history of previous viral URI, normal ESR, normal WBC, normal joint aspiration, self-limited condition
Suspicion for septic arthritis warrants both diagnostic and therapeutic joint aspiration followed by empiric systemic antibiotics (covering S. aureus in this healthy child).
submitted by โstep_prep7(71)
- In children with new development of joint pain, two major diagnoses to consider are septic arthritis and transient synovitis
- Our patientโs presentation more consistent with septic arthritis due to fever and refusal to bear weight, and therefore patient requires immediate drainage of joint space even before administering antibiotics because of risk for persistent damage to joint
- Transient synovitis: Afebrile, history of previous viral URI, normal ESR, normal WBC, normal joint aspiration, self-limited condition
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