RT Book, Section
A1 Hay, Jr, William W.
A1 Levin, Myron J.
A1 Deterding, Robin R.
A1 Abzug, Mark J.
SR Print(0)
ID 1145453819
T1 Arthritis, Pyogenic
T2 Quick Medical Diagnosis & Treatment Pediatrics
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781264257614
LK accesspediatrics.mhmedical.com/content.aspx?aid=1145453819
RD 2024/04/25
AB Source  varies  according  to  the  child's  ageInfantile  pyogenic  arthritis  often  develops  from  adjacent  osteomyelitisIn  older  children,  it  presents  as  an  isolated  infection,  usually  without  bony  involvementIn  teenagers,  an  underlying  systemic  disease  or  an  organism  that  has  an  affinity  for  joints  (eg,  Neisseria  gonorrhoeae)  may  be  presentThe  most  frequent  infecting  organisms  similarly  vary  with  ageGroup  B  Streptococcus  and  Staphylococcus  aureus  in  those  younger  than  4  monthsHaemophilus  influenzaetype  b  (if  unimmunized)  and  S  aureus  in  those  aged  4  months  to  4  yearsS  aureus  and  Streptococcus  pyogenes  in  older  children  and  adolescentsStreptococcus  pneumoniae  and  Neisseria  meningitis  are  occasionally  implicated,  and  N  gonorrhoeae  is  a  cause  in  adolescentsKingella  kingae  is  a  gram-negative  bacterium  that  is  increasingly  recognized  as  a  cause  of  pyarthrosis  (and,  occasionally,  osteomyelitis)  in  children  younger  than  5  years