000			03611nam a22006137a 4500
008			240807s20242024 xxu||||| |||| 00| 0 eng d
022			_a1752-1947
024			_a10.1186/s13256-024-04568-2 [pii]
024			_aPMC11084000 [pmc]
040			_aOvid MEDLINE(R)
099			_a38724965
245			_aDemonstrating antibiotic stewardship while diagnosing and treating bilateral pseudoseptic arthritis: a case report.
251			_aJournal of Medical Case Reports [Electronic Resource]. 18(1):242, 2024 May 10.
252			_aJ Med Case Reports. 18(1):242, 2024 May 10.
253			_aJournal of medical case reports
260			_c2024
260			_fFY2024
260			_p2024 May 10
265			_sepublish
265			_tMEDLINE
266			_d2024-08-07
266			_z2024/05/09 23:44
501			_aAvailable online through MWHC library: 2007 - present
520			_aCASE 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.
520			_aCONCLUSION: Pseudoseptic arthritis in the setting of viscosupplementation can be adequately treated and monitored without the use of antibiotics. Copyright © 2024. The Author(s).
520			_aINTRODUCTION: 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.
546			_aEnglish
650			_a*Anti-Bacterial Agents
650			_a*Antimicrobial Stewardship
650			_aAnti-Bacterial Agents/tu [Therapeutic Use]
650			_aAnti-Inflammatory Agents, Non-Steroidal/tu [Therapeutic Use]
650			_aC-Reactive Protein/an [Analysis]
650			_aFemale
650			_aHumans
650			_aKnee Joint
650			_aMiddle Aged
650			_aOsteoarthritis, Knee/dt [Drug Therapy]
650			_aTreatment Outcome
650			_aViscosupplementation
650			_zCurated
651			_aMedStar Union Memorial Hospital
656			_aOrthopaedic Surgery
656			_aOrthopaedic Surgery Residency
657			_aCase Reports
657			_aJournal Article
700			_aLindsey, Sierra _bMUMH _cOrthopaedic Surgery Residency _dMD
700			_aMcKinstry, Robert _bMUMH
700			_aStrickland, Paige _bMUMH
700			_aTarapore, Rae _bMUMH _cOrthopaedic Surgery Residency _dMD
790			_aTarapore R, Lindsey S, Strickland P, McKinstry R
856			_uhttps://dx.doi.org/10.1186/s13256-024-04568-2 _zhttps://dx.doi.org/10.1186/s13256-024-04568-2
858			_yTarapore, Rae _uhttp://orcid.org/0000-0001-7700-5641 _zhttp://orcid.org/0000-0001-7700-5641
942			_cART _dArticle
999			_c14554 _d14554