Man 35 yo, 3
days ago, pain at right knee cannot move, fever, no
history of trauma. Clinical examination of right knee: hot and swelling at suprapatellar
area (see photo).
Ultrasound first
scanned at the right knee, detecting swelling of the
suprapatella recessus with homogeneous fluid (2 ultrasound pictures).
MRI of the
right knee is same
picture report ( T1, T2).
Blood test
confirmed this infectious status with rising WBC and
CRP.
For make sure
the diagnosis: puncture of the knee joint with ultrasound guided..removing
the yellowish synovial fluid.
LAB analysis report
were hight WBC and negative gram stained bacteria present in
this fluid.
Diagnosis of this case is acute bacteria
infection of the knee joint, emergency treated
with antibotic and analgesic drugs.
DISCUSSION: in
acute case ultrasound guided puncture of the
joint is fast action for fast diagnosis.
REFERENCE:
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