CASE 257: KNEE PAIN, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

 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.

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