[Joint destruction and infection in advanced age].
Because of degenerative joint diseases and the reduced resistance in older patients the correct diagnoses of joint-empyema is difficult. In 29 pat (> 60 y) the mean delay of diagnoses was 5.1 months. First location of the infection have been: urinary tract 12, pneumonia 6, skin infection 10, and decubitus 3. Risk factors have been diabetes 4, polyarthritis 3, gout 3 and tuberculosis 3. The species were: s. aureus 12, s. albus 2, streptococcus 2, diphtheroid 2, e.coli 2, pseudomonas 2, proteus 4, enterobacter 3 and salmonella 1. 8 patients demonstrated mixed infections. The high mortality (3 pat.) and the frequent general sepsis (5 pat.) underline the importance of a missed joint-empyema in the elderly.
Universität Münster Klinik und Poliklinik für Allgemeine Orthopädie.
D
D
Bettin
M
M
Dethloff
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A
Karbowski
D000368:Aged; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology; D001419:Bacteria / Q000302:isolation & purification; D015897:Comorbidity; D004653:Empyema / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012307:Risk Factors
Destruktion und Gelenkinfektion im hohen Lebensalter.