Patients with Melioidotic septic arthritis in Nakhonphanom Hospital

Authors

  • Montree Kiatchanon

Keywords:

septic arthritis, melioidosis

Abstract

           Objective: To study the demographic pattern, clinical characteristics, laboratory, treatment, outcome , and length of stay in patients with melioidotic septic arthritis.

            Materials and methods: This study was a retrospective study to review patients with melioidotic septic arthritis at Nakhonphanom Hospital between 1 October 2016 and                30 September 2021. The data were analyzed by frequency, percentage, mean , and standard deviation.

           Results: A total of 32 patients showed that the male to female ratio was 1.38: 1. The mean age was 56.62+12.72 years. The most of them were farmers 29 cases (90.62%). The most common predisposing condition was diabetic Mellitus 29 cases (90.62%). Duration before reaching hospital was 1-7 days (68.75%), average 8.45+6.24 days. All of them presented with fever, pain ,and swelling (100.00%). The most common site of infection was the knee joint 15 cases (46.87%), followed by the shoulder 6 cases (18.75%), the elbow 5 cases (15.62%), the hip 4 cases (12.80%), the wrist and the ankle was 1 case (3.12%). The diagnosis was made on the basis of the positive culture of burkholderia pseudomallei, Hemocultures were positive in 21 cases (65.62%), and synovial fluids were positive in 17 cases (53.12%), in six patients positive from blood as well as synovial fluid. Treatment included antibiotic therapy with arthrotomy 22 cases (68.75%). The mortality rate was 15.62 percent (5 cases). Length of stay 11.11+5.4 days.

         Conclusion: The diagnosis was made on the basis of the positive culture of burkholderia pseudomallei. Treatment as septicemic melioidosis for patients with severe septic arthritis , and  risk factors until proven that it is not.

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Published

2023-12-18

How to Cite

1.
Kiatchanon M. Patients with Melioidotic septic arthritis in Nakhonphanom Hospital. Nakhonphanom Hosp J [internet]. 2023 Dec. 18 [cited 2025 Dec. 10];10(3):e267730. available from: https://he01.tci-thaijo.org/index.php/nkpjournal_9/article/view/267730

Issue

Vol. 10 No. 3 (2023): September - December

Section

Original article

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