[Significance of clinically latent bacterial arthritis].

Abstract:

:The classical septic bacterial arthritis is a rare event, but can be distinguished by unequivocal signs such as fibrin exudation and neutrophilic masses (pus). For a long time we have been observing an abortive form of bacterial arthritis in biopsies which subsides spontaneously without antibiotic intervention. Only very early during the course can Staphyolcoccus aureus or epidermidis be detected. Despite the brief presence of bacteria, enzymes from the neutrophils can destroy cartilage and bone. The fact that the attending physician had suspected a bacterial infection in only 7% of these patients highlights the diagnostic complexity. We have termed this form clinically latent bacterial arthritis (CLBA). Structural changes in the synovial membrane, e.g. in rheumatoid arthritis or osteoarthritis, predispose for a hematogenous seeding of endogenous staphylococci and trigger clinically unapparent, temporary infections. This clinically latent bacterial superinfection (CLSI) is also self-limiting, but the high degrading potential of the neutrophilic proteases makes CLSI a very probable contributing factor in joint destruction.

journal_name

Z Rheumatol

authors

Meyer-Scholten C,Valeva A,Zorn K,Meurer A,Fassbender HG

doi

10.1007/s00393-007-0251-8

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

41-4, 46

issue

1

eissn

0340-1855

issn

1435-1250

journal_volume

67

pub_type

杂志文章
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    doi:

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    journal_title:Zeitschrift fur Rheumatologie

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    doi:

    authors: Held H

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    pub_type: 杂志文章

    doi:

    authors: Wilhelmi G,Schneider-Faust R

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  • [Stage oriented surgical cartilage therapy. Current situation].

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    更新日期:2007-10-01 00:00:00

  • [Systemic sclerosis - diagnosis and classification].

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    journal_title:Zeitschrift fur Rheumatologie

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    journal_title:Zeitschrift fur Rheumatologie

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    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Bross-Bach U,Saal JG,Hartmann F,Müller CA,Waller HD

    更新日期:1987-07-01 00:00:00

  • [Back to school physical education despite rheumatism : Development and testing of a sport scientific-based physical education certification].

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    journal_title:Zeitschrift fur Rheumatologie

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    abstract::Health policy in Germany has in recent years given priority to the self-administration of physicians, sickness funds, and hospital associations. Hence, legal regulations on quality assurance have focused on defining responsibilities and areas of primary importance, while precise processes are being defined by the self...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

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    journal_title:Zeitschrift fur Rheumatologie

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    authors: Kneitz C,Strangfeld A,Krüger K

    更新日期:2014-04-01 00:00:00

  • [Ultrasound and arthritis].

    abstract::Musculoskeletal ultrasonography (US) is an established and validated imaging technique in rheumatology. Ultrasonography is able to directly visualize soft tissue pathologies such as synovial tissue changes. Pathological findings in superficial cartilage, bone lesions and synovial tissue changes in the context of rheum...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

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  • [Mode of action of D-penicillamine on collagen metabolism].

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    authors: Trnavská Z,Trnavský K

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  • [Cytogenetic studies of human lymphocytes under the influence of oxicams].

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    doi:

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  • [Extra-articular manifestations of rheumatoid arthritis].

    abstract::Rheumatoid arthritis (RA) represents an autoimmune disease affecting mostly joints, in particular small finger and toe joints. In addition RA can show extra-articular manifestations in many organs. Information on the frequency of extra-articular manifestations (EAMs) in RA varies greatly in different publications from...

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    doi:10.1007/s00393-011-0928-x

    authors: Baerwald C,Kneitz C,Bach M,Licht M

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  • [A new measuring device for computer-assisted imaging of the form and flexibility of the spine].

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    journal_title:Zeitschrift fur Rheumatologie

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    doi:

    authors: Hauns B,Ovenhausen K,Hase P,Lorenzen W,Mennet P,Stratz T,Müller W

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  • [Serum and synovial adiponectin, resistin, and visfatin levels in rheumatoid arthritis patients. Relation to disease activity].

    abstract:BACKGROUND:Recent data provided evidence on the implication of the adipocytokines adiponectin, visfatin, and resistin in inflammation, immune response, and tissue destruction and revealed several links between them and arthritis. AIM OF THE STUDY:The purpose of this study was to assess the levels of adiponectin, visfa...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-011-0834-2

    authors: Alkady EA,Ahmed HM,Tag L,Abdou MA

    更新日期:2011-09-01 00:00:00

  • [Hyper-IgD-syndrome].

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    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

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    更新日期:1997-01-01 00:00:00

  • [Identification of patients with axial spondylarthritis in primary care (AWARE study)].

    abstract:BACKGROUND:Early detection of patients with axial spondylarthritis (axSpA) in primary care is difficult. The combination of various parameters indicative of inflammatory back pain (AWARE criteria) was found to be beneficial in an initial study. OBJECTIVE:Review of the criteria for the identification of young patients ...

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    pub_type: 杂志文章,评审

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  • [Is H15 (resin extract of Boswellia serrata, "incense") a useful supplement to established drug therapy of chronic polyarthritis? Results of a double-blind pilot study].

    abstract:BACKGROUND:Leukotrienes and prostaglandines are important mediators of inflammation. While prostaglandine synthesis can be influenced by NSAIDs therapeutical approaches to the 5-lipoxygenase pathway are rare. Resinous extracts of Boswellia serrata (H15, indish incense), known from traditional ayurvedic medicine, decrea...

    journal_title:Zeitschrift fur Rheumatologie

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  • [Bacterial sacroiliitis].

    abstract::We saw two cases of infectious sacroiliitis in young patients. The multi-various clinical symptoms, the predispositions, as well as the alteration of laboratory analyses are described. Further, we discuss problems of early diagnosis, diagnostic measures like x-ray, sonography, bone-scan, computerized tomography scan, ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Nagler P,Feuerer F,Müller-Fassbender H

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  • [Brief review of the diagnostics of pyoderma gangraenosum].

    abstract::The diagnosis of pyoderma gangraenosum was previously made as a diagnosis of exclusion. For this reason repeated attempts have been made in recent years to develop new diagnostic scores, whereby the typical clinical and anamnestic aspects were usually taken into account and the relevant differential diagnoses were exc...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-018-0553-z

    authors: Dissemond J

    更新日期:2018-12-01 00:00:00

  • [Tibial pain and unilateral knee arthritis: Precursors of paraneoplastic arthropathy].

    abstract::Various rheumatic symptoms can occur in association with malignancies and are termed the so-called paraneoplastic arthropathy. The clinical picture is often similar to primary inflammatory rheumatic diseases. At present there exist no epidemiological data on this disease entity. The case of a patient with tibial pain ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-010-0734-x

    authors: Lange U,Bachmann G,Müller-Ladner U

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  • [Genetic diagnostics of autoinflammatory diseases].

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    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-020-00847-7

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  • Immunoregulatory role of stress mediators in rheumatoid arthritis.

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    pub_type: 杂志文章

    doi:

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