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Neonatal Septic Arthritis with Acyanotic CHD: A Case Study
Saurabh Suman1, Sushil Kamal1, Gaurav Vatsa1
1Department of Orthopaedics, Narayan Medical College and Hospital, Sasaram, Bihar, India.
Journal of Orthopaedic Case Reports
|August 19, 2024
Summary
Septic arthritis (SA) in neonates requires immediate medical or surgical intervention. This case report details a successful early arthrotomy for right knee septic arthritis in a newborn with sepsis and congenital heart disease.
Area of Science:
- Pediatrics
- Orthopedic Surgery
- Neonatology
Background:
- Septic arthritis (SA) is a joint inflammation caused by infection, often affecting the knee, hip, or shoulder.
- SA is a medical emergency requiring prompt medical or surgical treatment to prevent complications.
Observation:
- A 29-day-old female neonate presented with right knee septic arthritis and neonatal sepsis.
- The neonate also had undiagnosed acyanotic congenital heart disease.
- The neonate was born at 38 weeks and 4 days with a birth weight of 2.8 kg.
Findings:
- Early arthrotomy with joint exploration and antibiotic therapy was performed.
- This intervention was chosen as the primary treatment for the neonate's condition.
Implications:
- Arthrotomy is an effective and established treatment for septic arthritis.
- Timely intervention is crucial for optimal recovery and minimizing complications in pediatric SA cases.
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