ridm@nrct.go.th   ระบบคลังข้อมูลงานวิจัยไทย   รายการโปรดที่คุณเลือกไว้

Streptococcus agalactiae: An emerging cause of septic arthritis

หน่วยงาน มหาวิทยาลัยเชียงใหม่

รายละเอียด

ชื่อเรื่อง : Streptococcus agalactiae: An emerging cause of septic arthritis
นักวิจัย : Louthrenoo W. , Kasitanon N. , Wangkaew S. , Hongsongkiat S. , Sukitawut W. , Wichainun R.
คำค้น : -
หน่วยงาน : มหาวิทยาลัยเชียงใหม่
ผู้ร่วมงาน : -
ปีพิมพ์ : 2557
อ้างอิง : 10761608 , 10.1097/RHU.0000000000000071 , JCRHF , http://www.scopus.com/inward/record.url?eid=2-s2.0-84896705385&partnerID=40&md5=a5f77a45ccc19494addfee92591e47f7 , http://cmuir.cmu.ac.th/handle/6653943832/1679
ที่มา : -
ความเชี่ยวชาญ : -
ความสัมพันธ์ : -
ขอบเขตของเนื้อหา : -
บทคัดย่อ/คำอธิบาย :

Objective: Invasive Streptococcus agalactiae infection in nonpregnant women has been reported increasingly worldwide. This study reports the clinical features and outcome of S. agalactiae septic arthritis in Thai patients. Methods: The medical records of cases with septic arthritis seen between July 1990 and December 2010 were reviewed. Only those with S. agalactiae were included in this study. Results: From 244 cases of septic arthritis, 38 (15.57%, 13 men and 25 women) were caused by S. agalactiae, with 34 of them (89.48%) occurring between 2008 and 2010. Their mean age was 52.89 (SD, 18.95) years. Twenty-four of the 38 patients (63.16%) had 1 or more underlying disease that might predispose to joint infection. Fever and joint pain were the most common symptoms presented. Eleven cases (28.95%) presented monoarthritis, 15 (39.47%) oligoarthritis, and 12 (31.58%) polyarthritis, with a mean joint involvement of 3.34 (SD, 2.35) joints (range, 1-8). Cellulitis was seen in 27 cases (71.05%). Blood cultures were positive in 31 patients (81.58%). Thirty-five of the 38 synovial fluid specimens obtained were enough for cultures and stain smears, with 24 (68.57%) growing S. agalactiae and 19 (54.29%) showing gram-positive cocci. All isolates were sensitive to penicillin. Ten patients (26.31%) received arthroscopic drainage. The articular outcome was good in 11 patients, fair in 24, and poor in 3. There were no deaths. Conclusions: Streptococcus agalactiae is an emerging cause of septic arthritis in Thai patients. Physicians should be especially aware of this condition in patients presenting with acute oligopolyarthritis and prominent cellulitis. Copyright © 2014 by Lippincott Williams & Wilkins.

บรรณานุกรม :
Louthrenoo W. , Kasitanon N. , Wangkaew S. , Hongsongkiat S. , Sukitawut W. , Wichainun R. . (2557). Streptococcus agalactiae: An emerging cause of septic arthritis.
    เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ .
Louthrenoo W. , Kasitanon N. , Wangkaew S. , Hongsongkiat S. , Sukitawut W. , Wichainun R. . 2557. "Streptococcus agalactiae: An emerging cause of septic arthritis".
    เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ .
Louthrenoo W. , Kasitanon N. , Wangkaew S. , Hongsongkiat S. , Sukitawut W. , Wichainun R. . "Streptococcus agalactiae: An emerging cause of septic arthritis."
    เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ , 2557. Print.
Louthrenoo W. , Kasitanon N. , Wangkaew S. , Hongsongkiat S. , Sukitawut W. , Wichainun R. . Streptococcus agalactiae: An emerging cause of septic arthritis. เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ ; 2557.