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Septic arthritis of the elbow in a child due to Pseudomonas aeruginosa: a case report

Hatakenaka, Terue; Uemura, Kazutaka; Itsubo, Toshiro; Hayashi, Masanori; Uchiyama, Shigeharu; Kato, Hiroyuki

Journal of Pediatric Orthopaedics B:
doi: 10.1097/BPB.0000000000000016
Upper Limb
Abstract

We present a rare case of septic arthritis of the elbow in a child caused by Pseudomonas aeruginosa infection. In our patient, the 15-day delay before drainage may have led to the osteomyelitis of the capitulum and resulted in some persistent radiographic abnormalities. Although our patient has no subjective symptoms 5 years postoperatively, he has a slightly abnormal range of motion and gross lateral instability. Children with elbow pain and/or swelling with fever should be carefully examined for septic arthritis. Pseudomonas aeruginosa should always be kept in mind in such cases to avoid any delay in effective treatment.

Author Information

Department of Orthopedic Surgery, Shinshu University School of Medicine, Nagano, Japan

Correspondence to Terue Hatakenaka, MD, Department of Orthopedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan Tel: +81 263 37 2659; fax: +81 263 35 8844; e-mail: hatakenaka@shinshu-u.ac.jp

© 2014 by Lippincott Williams & Wilkins, Inc.