American Journal of Medical Case Reports. 2021, 9(8), 432-433
DOI: 10.12691/AJMCR-9-8-12
When Crystal Arthropathy Presents as Blood Poisoning
Kourosh Shargani1, and Harry Fischer1
1Northwell Lenox Hill Hospital, New York, NY. 100 E 77th St, New York, NY 10075, USA
Pub. Date: May 10, 2021
Cite this paper
Kourosh Shargani and Harry Fischer. When Crystal Arthropathy Presents as Blood Poisoning.
American Journal of Medical Case Reports. 2021; 9(8):432-433. doi: 10.12691/AJMCR-9-8-12
Abstract
Gout, or monosodium urate crystal deposition, is a common presentation in adults usually affecting the great toe. Gout is caused by an elevated level of uric acid in the blood, which leads to painful crystal deposition in the joints. Common causes of gout are Hypertension (HTN), Chronic Kidney Disease (CKD), Diabetes Mellitus (DM), alcohol use, diuretics, and high purine meals such as red meat or seafood. Gout flares present with sudden onset pain, warmth, and swelling in a single joint. These symptoms are very similar to an acute septic joint presentation. This case will demonstrate the workup required to differentiate between the two pathologies.
Keywords
septic arthritis, crystal arthropathy, sepsis, gout, gout-flare
Copyright
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