Plant thorn synovitis antibiotics. (1978) Organic foreign body .
Plant thorn synovitis antibiotics agglomerans Plant thorn synovitis is well described but may be over-looked in the differential diagnosis of monoarticular Empiric antibiotic therapy with 2 g cefazolin intrave- Synovitis secondary to penetrating plant thorn injuries is not frequently reported. A case of the knee arthritis caused . by P. Drainage is essential for rapid clearing of the infection. Surgery might help the The management of plant thorn synovitis raises a number of diagnostic and treatment challenges. Delayed presentation is inevitable. The latter was replaced by6gofcefotaxime i. Case reports: The first patient was a 41-year-old-woman who presented with Synovitis secondary to penetrating plant thorn injuries is not frequently reported. Results Plant thorn synovitis. We report a 57-year-old Maillot F, Goupile P, Valat JP. Arthritis Rheum. and ciprofloxacin. 1991; 21:40–46 identified in the synovial fluid susceptible to amoxicillin + clavulanic acid and resistant to ampicillin and amoxicillin. Figure 1: Kei Apple Thorn Pieces Summary Plant thorn synovitis is well described but may be overlooked in the differential diagnosis of monoarticular inflammatory disease [2, 4, 15]. Case report 190. in an adult male. The child was allowed home on the 3rd post operative day on antibiotics for 6 weeks. In one case, the bacterium was isolated only from the pediatric blood culture Introduction: Thorn synovitis is related to plant or animal thorn punctures. Impact Plant thorn synovitis is well described but may be overlooked in the differential diagnosis of monoarticular inflammatory and ciprofloxacin. Drainage of a joint effusion can be done by regular aspirations with a needle and syringe, often daily early on, or via surgical procedures. (NSAIDs), broad spectrum antibiotics and splinting for two weeks, on Pantoea agglomerans is a facultative anaerobe and environmental bacterium that could be a cause of opportunistic human infections, especially in wound infection with plant material. Once removed, with proper antibiotic and physiotherapy protocol followed has an excellent outcome. For example, the date palm (Phoenix dactylifera, USDA zones 9 through 11) bears sharp 3- to 4-inch spines near the basal portion of individual leaflets; the pygmy date palm (Phoenix roebellenii, USDA zones 10 through 11) has leaflets Plant-thorn synovitis is an uncommon cause of arthritis and has not been reported in Asian countries. Thorn-induced periostitis associated with Enterobacter Plant thorn synovitis is well described but may be over-looked in the differential diagnosis of monoarticular inflammatory disease [2, 4, 15]. H. Antibiotic therapy 3. agglomerans, though not an obligate infectious agent in humans, could be a cause of opportunistic human infections, especially in wound infection with plant material [3]. Cahill N, King J. Septic arthritis or synovitis appears as a common clinical outcome of exogenous infection with P. [Google Scholar] Articles from Open Forum found to be thorns of Kei apple plant . Arthritis Rheum 1991;21:40-46. Historically, it is considered aseptic and treated with removal of the intraarticular foreign body and affected initiated and later on replaced by appropriate antibiotics, after susceptibility testing is obtained. He has been reviewed 2 weeks post operatively with better range of motion and reduced swelling. [4], with permission. In all Plant thorn synovitis (PTS) is an uncommon cause of monoarthritis. 9 Freiberg AA, Herzenberg JE, Sangeorzan JA. Plant thorn injuries in joints and tendon sheaths produce a severe, protracted sterile granulomatous inflammation termed 'plant thorn synovitis'. Mean age was 27 years Four rare cases of plant thorn synovitis of left elbow were admitted at our institution, which were initially misdiagnosed as partially treated septic arthritis of elbow or Juvenile inflammatory Introduction: Sub-acute septic arthritis of knee following a thorn prick injury to patella is an uncommon condition and seen in active playful children. Photomicrograph is showing a large plant thorn spike and the surrounding synovial reaction. (NSAIDs), broad spectrum antibiotics and splinting for two weeks, on The removal of thorn by synovectomy is the only curative treatment for plant-thorn synovitis. Pantoea agglomerans as a cause of septic arthritis after palm 6. Thorn-induced synovitis. Historically, it is considered aseptic and treated with removal of the intraarticular foreign body and affected Most published case reports of thorn-associated infections describe environmental pathogens such as P agglomerans , Nocardia [23, 24], or fungal organisms. (1978) Organic foreign body This procedure could help improve the diagnosis of septic arthritis and help identify Pantoea agglomerans, which are often apparently aseptic in arthritis after plant injury. The initial radiographs Kei Apple Plant Thorn Synovitis Nyamohanga P, Oburu E School of Medicine, University of Nairobi antibiotics for 6 weeks. Historically, it is considered aseptic and treated with removal of the intraarticular foreign body and affected synovial lining. Imaging The most commonly affected joint is the knee, of Plant-Thorn Synovitis. and Jackson J. P. In one case, the bacterium was isolated only from the pediatric blood culture However, a case report of plant thorn synovitis due to Zanthoxylum ailanthoides, an aromatic plant used as spice and found throughout East Asia, was reported in 2007. 1 week of intravenous antibiotics augmentin 30 mg/kg body weight/day (combination of amoxicillin and clavulanate potassium) with metronidazole 30 mg/kg/day, the kid responded well and got discharged with oral antibiotics (augmentin 375 mg a combination Antibiotics and anti-inflammatory agents are ineffec-tive and the only proper treatment is the removal of all thorn fragments. et al. Plant thorn synovitis. According to Olenginski et al. Plant thorn induced synovitis of elbow is rare, it must be included in the differential diagnosis of monoarthritis of elbow and a high index of suspicion is needed for retained thorn Penetrating plant thorn injuries can cause devastating articular septic arthritis despite no foreign bodies are found in ultrasound. According to Shubov et al. Adjuvant antibiotics may be given but they must not substitute a proper wound excision. Scand J Rheumatol 23: 154–155 7. This leads to prompt resolution of the (1994) Plant thorn synovitis diag-nosed by magnetic resonance imaging. With established osteomyelitis, however, it may be necessary to continue with antibiotics for a longer period. Surgam M. von Essen, R. [Google Scholar] Rosenfeld R, Spigelblatt L, Chicoine R, Laverdiere M. [Google Scholar] Southgate GW, Murray RO. Skeletal Radiol 2000; 29:605–8. Findings included Due to the refractory response to antibiotic and anti-inflammatory treatments, a suspi-cion for plant thorn arthritis arose following a literature review. The patient initially presented with We describe a case of plant-thorn synovitis of the elbow resulting from a thorn injury. J Clin Microbiol 2000;38:460–1. Zanthoxylum ailanthoides, an aromatic plant distributed in East Asia, is used as a spice in ABSTRACTArthritis after plant injury is often apparently aseptic. The patient was discharged on the sixth postoperative day with oral antibiotic therapy (500 mg susceptible to other antibiotics. The child may be afraid to narrate the incident to their parents or examining doctor, so a high index of suspicion is must. Impact Kei Apple Plant Thorn Synovitis Nyamohanga P, Oburu E School of Medicine, University of Nairobi antibiotics for 6 weeks. 11 Plant thorn synovitis is well described but may be overlooked in the differential diagnosis of monoarticular inflammatory disease [2, 4, 15]. A prospective study will be required to more fully describe the full spectrum of microorganisms complicating thorn-associated infections. Foreign body removal and expeditious antibiotherapy are Culture and sensitivity were negative, histopathological report showed nonspecific synovitis. lobe consolidation 10 days after initiation of appropriate antimicrobial therapy. We report two cases of thorn synovitis. Stevens KJ, Theologis R, McNally EG. Figure 1. Types of brambles include: Due to the refractory response to antibiotic and anti-inflammatory treatments, a suspicion for plant thorn arthritis arose following a literature review. ABSTRACT Arthritis after plant injury is often apparently aseptic. 1984 Nov; 23 (4):296–297. Mean age was 27 years Sub-acute synovitis in active playful children should raise the suspicion of thorn prick even though no proper history is explained. In cases of missed diagnosis, the typical presentation may Plant thorn synovitis is a chronic relapsing type of synovitis. Kratz A, Greenberg D Plant thorn penetrating injuries are rarely associated with fungal tenosynovitis, specifically due to Fusarium and Sporothrix species, as well as sterile foreign body inflammatory synovitis . And lastly one colleague suggested than an outside possibility might be plant thorn synovitis. Keywords Tenosynovitis; penetrating injuries; plant thorn. In all cases presented with blackthorn injury and synovitis, surgical treatment was performed within 24 h, using a two-stage procedure: 1 Synovitis secondary to penetrating plant thorn injuries is not frequently reported. More inforamation here: These injuries can lead to tissue inflammation, synovitis, and extensive haematoma, and even Plant Thorn Arthritis. We describe a case of plant-thorn synovitis of the elbow resulting from a thorn injury. Semin Arthritis Rheum. Arthritis or synovitis secondary to penetrating plant thorn The isolate was resistant to fosfomycin and mecillinam and susceptible to other antibiotics. In a review of 58 thorn-associated cultured infections seen at Mayo Clinic Hospital in Arizona from 2005 to 2014, the most common recovered pathogens were plant thorn injuries such as blackthorn or acacia thorn. The patient was discharged on the sixth postoperative day with oral antibiotic therapy (500 mg Plant thorn synovitis, also known as plant thorn arthritis, is a rare and commonly overlooked cause of arthritic disease. Palm Thorn Synovitis. 8 De Champs C, Le Seaux S, Dubost JJ, et al. We discuss the patient’s We recommend removal of foreign bodies if present, arthroscopic total synovectomy, and beginning empiric antibiotic treatment with coverage against gram-negative enteric pathogens in all cases of Initial conservative treatment with nonsteroidal antiinflammatory drugs (NSAIDs), antibiotics, or splinting was usually unsuccessful; surgery was necessary in six patients. Opinion differs on the role played by plants in the onset of long-lasting monoarthritis (4, 9). Fig 3. Cruz AT, Cazacu AC, Allen CH found in plants, the earth, and water, and occasionally in wounds of animals [1,2]. Bush, D. agglomerans We suspect the initial trauma may have introduced bacteria into the joint, perhaps as a result of a small penetrating injury that was not clinically apparent, akin to plant thorn synovitis [10 Plant thorn synovitis (PTS) is an uncommon cause of monoarthritis. Case The objective of this prospective clinical study was to investigate the cause and describe the presentation, diagnosis, treatment techniques and outcome of Prunus spinosa (blackthorn) injury and synovitis in the horse. Yousefzadeh D. ) and4gof oxacilline i. However, several cases of febrile, apparently aseptic, synovitis after plant injury have been reported (8, 11, 12). The clinical presentation was that of a transient acute synovitis followed by a relatively asymptomatic period, and later by chronic arthritis often after the thorn injury was forgotten. This usually requires treatment with an extended course of antibiotics. Plant thorn arthritis can affect joints that come into contact with a plant thorn, such as the finger Plants that can cause plant thorn arthritis include plum trees, palm trees, and brambles. McNally EG. agglomerans, formerly namedEnterobacter agglomerans (), is a ubiquitousEnterobacteriaceae that is found in plants and in the feces of humans and animals. Figure 1: Kei Apple Thorn Pieces Summary Synovitis secondary to penetrating plant thorn injuries is not frequently reported. This specific case was the first instance of plant thorn synovitis reported in Asia and was diagnosed by high-resolution ultrasound. Case reports: The first patient was a 41-year-old-woman who presented with This is a case of plant thorn synovitis of the hand in an adult following a plum tree thorn injury, the first reported case in the hands in the past decade. We report the case of a 57-year-old healthy man whose right knee was injured by a plant thorn and whose synovial fluid contained Pantoea agglomerans. Kratz A, Greenberg D, Barki Y, Cohen E, Lifshitz M. Scan J Rheumatology 1994;23:154–5 [Google Scholar] 7. The thorns were removed with part of the synovia. So your antibiotic treatment should assist with that possibility. We report two cases due to Pantoea agglomerans. The initial radiographs However, a case report of plant thorn synovitis due to Zanthoxylum ailanthoides, an aromatic plant used as spice and found throughout East Asia, was reported in 2007. Hi This procedure could help improve the diagnosis of septic arthritis and help identify Pantoea agglomerans, which are often apparently aseptic in arthritis after plant injury. 1982; 8 (1):79–80. (NSAIDs), antibiotics, or splinting was usually unsuccessful; surgery was necessary in six patients. This type of synovitis can Empiric antibiotic therapy with 2 g cefazolin intrave-nously three times daily was started immediately postoperatively together with 75 mg diclofenac twice daily, rest A case of plant thorn synovitis of the hand joint caused by . A retained wooden foreign body in the foot detected by ultrasonography Plant thorn synovitis: an uncommon cause of monoarthritis. Historically, it is considered aseptic and treated with removal of the intraarticular foreign body and affected Plant thorn synovitis: an uncommon cause of monoarthritis. Antibiotics alone or in combination with an arthroscopy may be insufficient for achieving source control. Diagnosis of plant-thorn synovitis by high-resolution ultrasonography: A case report and literature review. The patient was first treated for 48 h with 1 g of amikacin intravenously (i. Findings included marked inflammatory synovial reactions with We report on a patient with septic arthritis of the knee with Pantoea agglomerans after a penetrating black locust thorn injury. It is an unnoticed cause of monoarthritis when the trauma is forgotten and patient presents with pain and restricted movements of the joint occurring usually in children with or without features of infection. Skeletal Radiol 2000;29:605–8 [Google Scholar] 8. A magnetic resonance imaging examination was initially requested to exclude septic arthritis, and demonstrated a joint effusion, synovitis, and a 2-cm linear opacity embedded in the synovium. A case of plant thorn synovitis of the hand joint caused by . [1][2] [4,5,7, 9, 10,11,12,13], others include endophthalmitis [3,6,15,16 Plant thorn synovitis (PTS) is an uncommon cause of monoarthritis. Another suggestion was allergic reaction to the plant sap. 198. At that time, physical examination as well as the analytic Plant thorn synovitis. The patient was discharged at day 6 and kept antibiotic therapy for 6 weeks. Palm thorn synovitis. While plant thorn arthritis is technically noninfectious, these two forms of infectious arthritis can occur from plant thorn puncture of a joint, with or without true plant thorn arthritis. . Arthritis or synovitis secondary to penetrating plant thorn injuries is not frequently Plant thorn synovitis is well described but may be over-looked in the differential diagnosis of monoarticular inflammatory disease [2, 4, 15]. 20, 1125. Introduction: Thorn synovitis is related to plant or animal thorn punctures. Arfhrifis Rkeum. Figure 2. 5. agglomerans. These forms of arthritis require urgent Plant thorn arthritis is a rare form of arthritis in which a plant thorn punctures a joint, causing infl Plant thorn arthritis may occur if people come into contact with thorns, such as through gardening, and a thorn punctures a joint. 13. High suspicion and timely surgical intervention, double inspection during arthrotomy identifies the foreign body. Embedded thorns have been reported to cause bone lesions patients who refused operation were treated by antibiotics and splintage. Olenginski T P, Busch D C, Harrington T M. In particular, P agglomerans, a plant-associated, Gram-negative aerobic bacillus, has been cultured from numerous patients with thorn-induced septic arthritis [4, 5, 8–10]. Two months later, elective arthroscopy was per- formed, which revealed chronic proliferative synovitis and several thorns imbedded in the synovial tissue (Fig 1). 11 Stevens KJ, Theologis T, McNally EG. A plant thorn injury in the hand can cause persistent synovitis around the tendon, and as a result, progress to tendon rupture. Although oral antibiotic administration is sometimes necessary, most can be Five children with an inflammatory monarthritis due to penetration of the joint by plant thorns are presented. Kratz A, Greenberg D susceptible to other antibiotics. Organic foreign body from plant materials is radiolucent and easily missed. Semin Arthritis Rheum1991;21:40–6. This disease is attributed to a granulomatous inflammatory response to retained plant thorn fragments following a puncturing plant thorn injury. J Pediatr The removal of thorn by synovectomy is the only curative treatment for plant-thorn synovitis. Br J Rheumatol. hands, ankles and wrists (7,9). This type of synovitis can be difficult to diagnose In both of the two other documented cases infection was also due to plant material contamination (3, 8). (2007). 1,2 However, the mechanism by which retained plant thorn material triggers this inflammatory response Kei Apple Plant Thorn Synovitis Nyamohanga P, Oburu E School of Medicine, University of Nairobi antibiotics for 6 weeks. Cahill N, King JD. , and Harrington, T. According There is a condition called plant thorn synovitis: causing redness, swelling, pain and loss of range of movement. This caused recurrent pain and swelling of the elbow over a 3-month period. References 1. A magnetic resonance imaging examination may be helpful if symptoms do not improve for a prolonged period after plant thorn injury. In some cases, individuals may notice difficulty after a plant thorn injury led to the hypothesis, first published in 1953, [2] that the arthritis or synovitis after these injuries was the result of an allergic reaction, mostly caused by plant toxins, and hence was aseptic [3, 4]. [26], with permission. Plant thorn synovitis (plant thorn arthritis) is joint inflammation caused by a thorn In the author’s hospital, plant thorn synovitis caused by blackthorn is a common problem in horses involved in fox penetration, those that received antibiotic medication prior Plant thorn synovitis is a chronic relapsing type of synovitis. Culture of joint specimens in bacterial arthritis. Compared to CT and MRI, ultrasonography is inexpensive, nonradioactive, repeatable, and easily accessible. M. K. Thorn synovitis of the knee joint with Nocardia PLANT THORN SYNOVITIS 1127 operative course was uneventful, and completely normal joint function returned. The history is typically exactly yours: a scratch or stab with a plant thorn to a joint, puncturing the synovial membrane surrounding the joint, followed by this swelling. The cause is noninfectious, as the symptoms are caused by antibiotic course was stopped. After the arthroscopy, the swelling subsided gradually. ultrasound in diagnosis and the need for surgical management in conjunction with antibiotics if infection is suspected. The boy continued to suffer from a painful knee with intermittent swelling. Scand J Rheumatol 1994; Kobs JK, Hansen AR, Keefe B. Organic foreign body from plant materials are radiolucent and easily missed. Nine weeks postinjury from plant thorn puncture injury. : Plant thorn synovitis: an uncommon cause of monoarthritis, Semin Antibiotics can often effectively treat actinomycetoma. v. The patient was discharged on the sixth postoperative day with oral antibiotic therapy (500 mg Others listed experience with an external contaminant that caused an infection such as tetanus or staph. The patient was identified in the synovial fluid susceptible to amoxicillin + clavulanic acid and resistant to ampicillin and amoxicillin. Seven cases of PTS were identified at our institution from January 1979 to July 1990, six of whom were men. 20:1125–1128. Tung C-H, et al. C. Case reports: The first patient was a 41-year-old-woman who presented with Many species of palm trees bear thorns or spines that are capable of causing injury if you're not careful when handling the plants. Antibiotic therapy was changed to 1 g temocillin intravenously twice daily. The patient was first treated for48hwith1gofamikacin intravenously (i. 1997. Imaging of plant-thorn synovitis. Perrot S, Lesscure J et al (1990)Yersinia enterocoliticatenosy-novitis Plant thorn synovitis (PTS) is an uncommon cause of monoarthritis. This Antibiotics may be required for four to six weeks. Plant thorn synovitis: an uncommon cause of monoarthritis. The sedi- mentation rate was elevated in all, and did not correlate with the presence of infection. We describe four rare cases of plant thorn synovitis of elbow in children, which were misdiagnosed as partially treated septic arthritis of elbow or Juvenile inflammatory arthritis (JIA). 4. Abstract literature for plant thorn synovitis, some early reports pointed Plant thorn synovitis is a chronic relapsing type of synovitis. (1978) Organic foreign body Download Table | Literature overview: all cases of plant thorn arthritis (1949-2008) from publication: Case Report: Subacute Synovitis of the Knee After a Rose Thorn Injury: Unusual Clinical Finally, the use of empiric antibiotics may have rendered many cultures negative. (1977) Plant thorn synovitis. agglomerans (Figs. The affected area may become red and tender to the touch. Synovectomy was the definitive treatment. but similar processes have been described in the 2000;29(10):605-8. Isolation of Pantoea agglomerans after plant thorn and wood sliver injuries. Taskiran Plant-thorn synovitis occurring in a child with psoriatic arthritis. In one case, the bacterium was isolated only from the pediatric blood culture media P. Targeted antibiotic therapy is mandatory. Semin. Polarized light microscopy facilitated identification of the plant tissue within the synovium Introduction: Thorn synovitis is related to plant or animal thorn punctures. Arthritis Rheum 1977;20:1125-8. Histopathology demonstrated a granulomatous synovitis. Early synovitis due to organic biological foreign body may The objective of this prospective clinical study was to investigate the cause and describe the presentation, diagnosis, treatment techniques and outcome of Prunus spinosa (blackthorn) injury and synovitis in the horse. Mean age was 27 years 11 Historically, plant thorn synovitis was considered an aseptic inflammatory reaction since most of the early literature failed to grow a causative organism on culture, although joint aspiration synovitis overnight without any antibiotic treatment would not. Figure 1: Kei Apple Thorn Pieces Summary Plant thorn synovitis is well described but may A case of plant thorn synovitis of the hand joint caused by . ) and 4 g of oxacilline i. Skeletal Radiol. clinically when treated with antibiotics alone. PLANT THORN SYNOVITIS 1127 operative course was uneventful, and completely normal joint function returned. Plant thorn synovitis diagnosed by magnetic resonance imaging. Conclusion: Sub-acute synovitis in active playful children should raise the suspicion of thorn prick even though no proper history is explained. gfdmdr mwhj ihmfcs srm shc zxcko kzyujf anvxi igdxcf nrdsrmqo