Sebastiao Alexandra, Khawar Haseeb, Hawkins Russell
Trauma and Orthopedics, Whittington Health NHS Trust, London, GBR.
Trauma and Orthopedics, Nottingham University Hospitals NHS Trust, Nottingham, GBR.
Cureus. 2024 Jun 11;16(6):e62179. doi: 10.7759/cureus.62179. eCollection 2024 Jun.
Septic arthritis is a serious condition in children, with the hip and knee joints most typically affected. Patients typically present with pain, joint swelling, fever, and an inability to bear weight. Early recognition and treatment are crucial, as untreated septic arthritis can lead to serious complications, including sepsis, irreversible joint damage, growth problems, and early-onset arthritis. Clinical signs, inflammatory markers, and imaging are used for the diagnosis of septic arthritis. The mainstay of management includes antibiotic therapy and surgical washout. Long-term follow-up is essential to monitor for complications.
化脓性关节炎在儿童中是一种严重疾病，最常累及髋关节和膝关节。患者通常表现为疼痛、关节肿胀、发热以及无法负重。早期识别和治疗至关重要，因为未经治疗的化脓性关节炎可导致严重并发症，包括败血症、不可逆转的关节损伤、生长问题和早发性关节炎。临床体征、炎症标志物和影像学检查用于诊断化脓性关节炎。主要治疗方法包括抗生素治疗和手术冲洗。长期随访对于监测并发症至关重要。
