title: Septicemic arthritis with antibiotic resistance: a case study.
abstract: This article demonstrates how rheumatoid arthritis can be confused with septicemic arthritis. Effective diagnosis and treatment depends on timely and effective confirmation of the cause for arthritis. In the future, if such a case were presented, actions must be taken as soon as the bacteremia has been confirmed since the organism is the primary cause of the inflammation and not rheumatoid arthritis. If this is done immediately, the patient's body will be more effective at fighting off nosocomial infections resulting in a better prognosis.
authors.affiliation: West Roxbury VAMC, Laboratory Services, Department of Immunology, 1400 VFW Parkway, West Roxbury, MA 02132, USA. Yun.Tang@va.gov
authors.forename: Yun
authors.initials: Y
authors.lastname: Tang
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Leclair
authors.forename: Frank J
authors.initials: FJ
authors.lastname: Scarano
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000009:adverse effects / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology*; D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000188:drug therapy; D016470:Bacteremia / Q000150:complications; D003428:Cross Infection / Q000382:microbiology; D004926:Escherichia coli / Q000187:drug effects*; D004927:Escherichia coli Infections / Q000150:complications / Q000382:microbiology*; D017809:Fatal Outcome; D006801:Humans; D007970:Leukopenia / Q000139:chemically induced; D008297:Male; D008875:Middle Aged; D009254:Nafcillin / Q000494:pharmacology / Q000627:therapeutic use; D011241:Prednisone / Q000009:adverse effects / Q000627:therapeutic use; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000382:microbiology; D014640:Vancomycin / Q000494:pharmacology / Q000627:therapeutic use; D018440:beta-Lactam Resistance
chemical_list: D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D009254:Nafcillin; D014640:Vancomycin; D011241:Prednisone