TY  - BOOK
AU  - Lindsey, Sierra
AU  - McKinstry, Robert
AU  - Strickland, Paige
AU  - Tarapore, Rae
TI  - Demonstrating antibiotic stewardship while diagnosing and treating bilateral pseudoseptic arthritis: a case report
SN  - 1752-1947
PY  - 2024///
KW  - *Anti-Bacterial Agents
KW  - *Antimicrobial Stewardship
KW  - Anti-Bacterial Agents/tu [Therapeutic Use]
KW  - Anti-Inflammatory Agents, Non-Steroidal/tu [Therapeutic Use]
KW  - C-Reactive Protein/an [Analysis]
KW  - Female
KW  - Humans
KW  - Knee Joint
KW  - Middle Aged
KW  - Osteoarthritis, Knee/dt [Drug Therapy]
KW  - Treatment Outcome
KW  - Viscosupplementation
KW  - Curated
KW  - MedStar Union Memorial Hospital
KW  - Orthopaedic Surgery
KW  - Orthopaedic Surgery Residency
KW  - Case Reports
KW  - Journal Article
N1  - Available online through MWHC library: 2007 - present
N2  - CASE PRESENTATION: In this case report, we present a 61-year-old African American female patient who presented with bilateral knee pseudoseptic arthritis in the setting of viscosupplementation. She presented 3 days after bilateral viscosupplementation injections with bilateral knee swelling, discomfort, and pain with micromotion. Her white blood cell count (WBC) was 12.83 (4.5-11 normal), her C-reactive protein (CRP) level was 159 mg/L (0-10 normal), and her erythrocyte sedimentation rate (ESR) was 79 mm/hour (0-40 normal). Her left knee aspirate yielded 38,580 WBC with a negative gram stain and negative cultures. Her right knee aspirate yielded 29,670 WBC with a negative gram stain and negative cultures. Through the utilization of careful clinical monitoring, ice therapy, and non-steroidal inflammatory medication, we were able to successfully treat this patient while maintaining proper antibiotic stewardship; CONCLUSION: Pseudoseptic arthritis in the setting of viscosupplementation can be adequately treated and monitored without the use of antibiotics. Copyright © 2024. The Author(s); INTRODUCTION: Although viscosupplementation is a commonly used treatment for osteoarthritis and is widely regarded as a safe treatment option, it is associated with the rare complication of pseudoseptic arthritis. Most existing case reports that cite this rare complication employed the use of early broad-spectrum antibiotics
UR  - https://dx.doi.org/10.1186/s13256-024-04568-2
ER  -