Abstract
Objective: To analyze the characteristic features of patients with coexistence of gouty arthritis and pyarthrosis at our university hospital in southern Taiwan, an area with high prevalence of hyperuricemia and gout. Methods: A retrospective chart review was performed for patients who had concomitant gouty and septic arthritis from July 1998 to June 2008. Clinical and laboratory data of these patients were analyzed. Furthermore, a comparison was made with published cases in English literature. Results: Fourteen cases with coexistence of gouty arthritis and pyarthrosis have been identified during the past 10 years. There were 13 male and 1 female, all of Han Chinese in ethnicity, with ages ranging from 45 to 85 and an average of 63.7 years. At disease presentation, there were 11 oligoarticular cases (78.6%), 2 monoarticular cases (14.3%) and 1 polyarticular case (7.1%). Ankle and knee joints were most commonly involved. Bacteriological analyses demonstrated gram-positive cocci in 12 cases, of these 10 were oxacillin-sensitive Staphylococcus aureus (71.4%). Multiple tophi deposition was noted in 13 patients (92.9%) and among them 11 patients (84.6%) had associated chronic kidney disease. Conclusion: Different clinical presentations and bacteriological characteristics have been identified in the present series. While the mechanisms responsible for such a coexistence remain to be elucidated, these cases underline the importance of thorough evaluation of the aspirated synovial fluid. Our report adds a novel insight into the understanding of the clinical and microbiological manifestations of such a rare concurrence of gouty and septic arthritis.
| Original language | English |
|---|---|
| Pages (from-to) | 902-906 |
| Number of pages | 5 |
| Journal | Clinical and Experimental Rheumatology |
| Volume | 27 |
| Issue number | 6 |
| Publication status | Published - 2009 Dec 1 |
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All Science Journal Classification (ASJC) codes
- Rheumatology
- Immunology and Allergy
- Immunology
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Rare coexistence of gouty and septic arthritis : A report of 14 cases. / Weng, Chia-Tse; Liu, Ming-Fei; Lin, Li Hsin; Weng, Meng-Yu; Lee, Nan-Yao; Wu, An-Bang; Huang, Kuo-Yuan; Lee, Jing-Wei; Wang, Chrong-Reen.
In: Clinical and Experimental Rheumatology, Vol. 27, No. 6, 01.12.2009, p. 902-906.Research output: Contribution to journal › Article
TY - JOUR
T1 - Rare coexistence of gouty and septic arthritis
T2 - A report of 14 cases
AU - Weng, Chia-Tse
AU - Liu, Ming-Fei
AU - Lin, Li Hsin
AU - Weng, Meng-Yu
AU - Lee, Nan-Yao
AU - Wu, An-Bang
AU - Huang, Kuo-Yuan
AU - Lee, Jing-Wei
AU - Wang, Chrong-Reen
PY - 2009/12/1
Y1 - 2009/12/1
N2 - Objective: To analyze the characteristic features of patients with coexistence of gouty arthritis and pyarthrosis at our university hospital in southern Taiwan, an area with high prevalence of hyperuricemia and gout. Methods: A retrospective chart review was performed for patients who had concomitant gouty and septic arthritis from July 1998 to June 2008. Clinical and laboratory data of these patients were analyzed. Furthermore, a comparison was made with published cases in English literature. Results: Fourteen cases with coexistence of gouty arthritis and pyarthrosis have been identified during the past 10 years. There were 13 male and 1 female, all of Han Chinese in ethnicity, with ages ranging from 45 to 85 and an average of 63.7 years. At disease presentation, there were 11 oligoarticular cases (78.6%), 2 monoarticular cases (14.3%) and 1 polyarticular case (7.1%). Ankle and knee joints were most commonly involved. Bacteriological analyses demonstrated gram-positive cocci in 12 cases, of these 10 were oxacillin-sensitive Staphylococcus aureus (71.4%). Multiple tophi deposition was noted in 13 patients (92.9%) and among them 11 patients (84.6%) had associated chronic kidney disease. Conclusion: Different clinical presentations and bacteriological characteristics have been identified in the present series. While the mechanisms responsible for such a coexistence remain to be elucidated, these cases underline the importance of thorough evaluation of the aspirated synovial fluid. Our report adds a novel insight into the understanding of the clinical and microbiological manifestations of such a rare concurrence of gouty and septic arthritis.
AB - Objective: To analyze the characteristic features of patients with coexistence of gouty arthritis and pyarthrosis at our university hospital in southern Taiwan, an area with high prevalence of hyperuricemia and gout. Methods: A retrospective chart review was performed for patients who had concomitant gouty and septic arthritis from July 1998 to June 2008. Clinical and laboratory data of these patients were analyzed. Furthermore, a comparison was made with published cases in English literature. Results: Fourteen cases with coexistence of gouty arthritis and pyarthrosis have been identified during the past 10 years. There were 13 male and 1 female, all of Han Chinese in ethnicity, with ages ranging from 45 to 85 and an average of 63.7 years. At disease presentation, there were 11 oligoarticular cases (78.6%), 2 monoarticular cases (14.3%) and 1 polyarticular case (7.1%). Ankle and knee joints were most commonly involved. Bacteriological analyses demonstrated gram-positive cocci in 12 cases, of these 10 were oxacillin-sensitive Staphylococcus aureus (71.4%). Multiple tophi deposition was noted in 13 patients (92.9%) and among them 11 patients (84.6%) had associated chronic kidney disease. Conclusion: Different clinical presentations and bacteriological characteristics have been identified in the present series. While the mechanisms responsible for such a coexistence remain to be elucidated, these cases underline the importance of thorough evaluation of the aspirated synovial fluid. Our report adds a novel insight into the understanding of the clinical and microbiological manifestations of such a rare concurrence of gouty and septic arthritis.
UR - http://www.scopus.com/inward/record.url?scp=76649109881&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=76649109881&partnerID=8YFLogxK
M3 - Article
C2 - 20149303
AN - SCOPUS:76649109881
VL - 27
SP - 902
EP - 906
JO - Clinical and Experimental Rheumatology
JF - Clinical and Experimental Rheumatology
SN - 0392-856X
IS - 6
ER -