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PRESENTATION AND CLINICAL FEATURES OF CHILDREN WITH SEPTIC ARTHRITIS

Dr. Mahmood Ahmad, Dr. Zubair Khalid, Dr Fazal ur Rehman

Abstract: Background: Septic arthritis (SA) is known to be an infectious disease emergency. Children age groups are affected more with SA in comparison to adults. The aim of the current study was to find out the presentation and clinical features of SA amongst children aged 2 to 15 years. Material and Methods: This descriptive cross-sectional study was conducted from January 2017 to May 2019, in children having SA, aged less than 16 years of age. Institute of Child’s Health, Multan, and Mayo Hospital, Lahore, Pakistan were the centers for this study. A total of 46 patients with a diagnosis of SA, admitted for more than 24 hours, were enrolled in the study. Demographic features like age and gender, symptoms at the time of presentation, laboratory findings as well as joint involvement were recorded. SPSS Version 20.0 was used for data entry and statistical analysis. Results: There were 29 (63.0%) male and 17 (37.0%) female. Majority of the children, 33 (71.7%) were below 4 years of age. Most common reported symptoms at the time of admission was recorded to be fever, found in 34 (73.9%), joint swelling was noted in 20 (43.5%) children while joint pain or decreased usage of involved joint were noted in 44 (95.6%). Most common joint involved was noted to be hip, found in 28 (60.9%), followed by knee 10 (21.7%). Conclusion: Most of the children with SA were male, had age below 4 years. Joint pain or decreased usage of involved joint and fever at the time of admission was the commonest presentation. Hip and Knee joints seemed to be most involved in children with SA. Key Words: Septic arthritis, fever, joint pain, hip, knee.

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