MÁRCIO NATTER ARTRITE SÉPTICA: ESTUDO DE 9 ... - UFSC

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ABSTRACT
Background: Septic arthritis is an uncommon illness, however with great morbidity and
lethality. Non-gonococcal septic arthritis is more common in males and the extremes of ages,
affects more the knee and hip with a monoarticular pattern and S. Aureus is the main etiologic
agent. On the other hand, gonococcal septic arthritis affects more females and sexually active
people, fists and metacarpo-phalangeal joints are commonly affected with polyarticular
pattern. The treatment is similar for both cases with better prognostic for gonococcal septic
arthritis. In Brazil the clinic-epidemiological characteristics are similar to that in the world
with North American pattern in the case of gonococcal septic arthritis.
Objective: To get data about clinic-epidemiological profile, diagnosis and treatment of the
patient with septic arthritis in Brazil and in the world, as well as report 9 cases that had
occurred in our state.
Method: It is a observational and descriptive study of 9 cases admitted in the Hospital
Governador Celso Ramos and the Hospital Universitario Polydoro Ernani de Sao Thiago. The
literature review was carried through LILACS, SciELO Brazil and MEDLINE in search for
study of cases. Chapters of books, review articles and other articles analyzing other aspects of
septic arthritis had also been included.
Results: From 9 cases there was predominance of males, in five cases the age was superior to
40 years old with knee predominantly affected. In half of the cases the sanguineous
leukocytes were below 10.000/mm 3 . The predominant bacteria was S. aureus. Others isolated
bacterias was two Streptococcus spp. and one bacillus gram negative. The isolation of the
etiologic agent was predominantly through the culture of the sinovial fluid.