Analysis of the influence of Ascaris, Borrelia, Toxocara, Toxoplasma and Mycoplasma infections on the incidence and course of Perthes disease – pilot study
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2013, Vol 15, Issue 3
Abstract
AbstractBackground It is known from medical literature that such organisms as Ascaris, Borrelia, Mycoplasma, Toxocara and Toxoplasma can cause arthritis or cause vascular changes. We studied their influence on the incidence, course and outcome of Perthes disease.Materials and methodsSixty-one patients treated for Perthes disease were analysed. Thirty-seven of them took part in a follow-up examination after a mean of 2.8 years post first admission. A control group consisted of 22 patients treated operatively for other reasons. Blood tests, radiographic studies and a physical examination were carried out during the first admission and the follow-up visit. ResultsSerologic tests were positive for at least one pathogen in 67.2% of the patients with Perthes disease. In the control group, the tests were positive for Borrelia in 52.2% of the patients and for Mycoplasma in 40.9%, compared to antibody rates of 17.1% and 29.3%, respectively, in the group with Perthes disease. The lack of statistically significant differences in the distribution of infected vs. not-infected children according to the Herring classification suggests the absence of influence of the pathogens on the radiographic severity of Perthes disease. There were no statistically significant differences in the range of internal rotation and abduction of the affected limb between patients with negative and positive blood tests. The radiographs failed to show statistically significant differences in the structure of proximal femur between infected and non-infected children.Conclusions. Patients with a diagnosis of Perthes disease did not demonstrate more frequent infection with the organisms investigated than the control group. No link was found between those infestations and the course and prognosis of Perthes disease.
Authors and Affiliations
Kryspin Ryszard Niedzielski , Krzysztof Małecki
Keywords
Related Articles
- EP ID EP57321
- DOI -
- Views 115
- Downloads 0
Neuropathy – Damage to Peripheral Nerves in Diseases and Injuries of the Musculoskeletal System
The musculoskeletal diseases and injuries affect not only the musculoskeletal system itself, but also the closely related structures, such as blood vessels and nerves (both within the central and the peripheral nervous s...
Modified open arthroscopy in the treatment of septic arthritis of the hip
[b]Background:[/b] The aim of the study was to present the results of fenestration arthroscopy in five patients with primary septic arthritis of the hip. [b]Material and Methods:[/b] The mean follow-up period was 52 mont...
Systematic Review of Randomized Controlled Trials Comparing Efficacy of Crossed Versus Lateral K-wire fixation in Extension type Gartland type III Supracondylar Fractures of the Humerus in Children
AbstractSupracondylar fractures of the humerus occur frequently in children and account for approximately 70% of all elbow fractures. The aim of this systematic review is to critically appraise randomized controlled tria...
Rozwój wczesnych biologicznych koncepcji, technik i metod operacji wytwórczych stawów
Autorzy przedstawiają w artykule rozwój technik chirurgicznego uruchamiania zesztywniałych stawów, a w szczególności problematykę stosowania tzw. materiałów interpozycyjnych, które stanowiąc substytut zniszczonej chrząst...
Ocena czynników wpływających na jakość i skuteczność stosowania terapii ultradźwiękowej i fonoforezy
Próby wykorzystania fali akustycznej (ultradźwiękowej) wspomagającej wprowadzanie do skóry pola zabiegowego substancji lekowych sięgają lat pięćdziesiątych XX wieku. Mimo bardzo szerokiego stosowania fonoforezy w gabinet...