Case analysis of the gouty arthritis was misdiagnosed as suppurative arthritis affecting the knee
SU Jia-chun1 YU Yong-lin2△
Author information+
Department of Foreign outpatient1 ，Orthopaedics2, Huashan hospital, Fudan University, Shanghai, 200040, China
{{custom_zuoZheDiZhi}}
{{custom_authorNodes}}
{{custom_bio.content}}
{{custom_bio.content}}
{{custom_authorNodes}}
Collapse
History+
Received
Revised
Published
2007-12-11
1900-01-01
2008-09-20
Issue Date
2008-09-20
Abstract
Objective In order to elevate the level of diagnosis and treatment for gout, we analysed the patients with acute gouty arthritis affectted the knee，these patients were misdiagnosed as acute septic knee. Methods 29 gouty cases, among them 24 were foreigners, whom were misdiagnosed as acute septic knee. All the patients were treated from February 1994 to October 2007. Among them 24 cases were first treated in other hospitals. These patients were treated as suppurative arthritis of the knee before coming to our clinic. If the examination results of blood routine, serum uric acid and synovial fluid analysis supported the diagnosis of gout, the treatment with antibiotics was immediately stopped, and the diagnostic treatment with colchicine were used. Some of these patients were hospitalized. Results Among these 29 cases, the diagnosis of acute gouty arthritis affecting the knee was made sure in 25 cases, while other 4 cases were diagnosed as this desease most probably. All these 29 cases were corrected their misdiagnosis and cured. Conclusions It was helpful to reduce the misdiagnosis by inquiring the details of the case history , taking physical examination carefully, the analysis of synovial fluid of the knee, the examination of serum uric acid and making diagnostic treatment with colchicine.
SU Jia-chun YU Yong-lin△.
Case analysis of the gouty arthritis was misdiagnosed as suppurative arthritis affecting the knee[J]. Fudan University Journal of Medical Sciences, 2008, 35(5): 771-0
PDF(523 KB)
