title: Is it easy to clinically distinguish inflammatory arthritis of bacterial origin from monoarthritis attacks of gout disease?
abstract: Acute monoarthritis is a common situation in orthopedic emergency where the patient presents with typical inflamed joint. It is hard to clinically distinguish inflammatory arthritis of bacterial origin from monoarthritis attacks of gout disease. If these two situations, which are the most common causes of acute monoarthritis, are misdiagnosed, outcomes might be catastrophic and costly. Synovial fluid analysis is the most reliable method for confirming the diagnosis although it might not always lead to definitive diagnosis. If there is clinical suspicion for crystal arthropathy, repeated examinations may provide benefits for confirming the diagnosis.
authors.affiliation: Department of Orthopedics and Traumatology, Medical Faculty of Gazi University, 06500 Beşevler, Ankara, Turkey. satikmd@gmail.com.
authors.forename: O Şahap
authors.initials: OŞ
authors.lastname: Atik
authors.forename: Yılmaz
authors.initials: Y
authors.lastname: Ergişi
authors.forename: Tacettin
authors.initials: T
authors.lastname: Ayanoğlu
authors.forename: Mehmet Ali
authors.initials: MA
authors.lastname: Tokgöz
authors.forename: Erdem Aras
authors.initials: EA
authors.lastname: Sezgin
authors.forename: Pınar Uyar
authors.initials: PU
authors.lastname: Göçün
mesh_terms: D000208:Acute Disease; D001170:Arthritis, Infectious / Q000175:diagnosis*; D001424:Bacterial Infections / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006073:Gout / Q000175:diagnosis*; D006801:Humans; D013582:Synovial Fluid / Q000737:chemistry / Q000382:microbiology