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 97
- Downloads 0
Comparative analysis of clinical usefulness of the Staffelstein Score and the Hospital for Special Surgery Knee Score (HSS) for evaluation of early results of total knee arthroplasties. Preliminary report.
[b]Introduction.[/b] Introduced and developed in the second half of the last century, joint arthroplasty has become a method of choice in the treatment of advanced degenerative knee joint disease. The aim of study was to...
Analiza porównawcza radiologicznych wyników leczenia operacyjnego pacjentów ze złamaniem końca dalszego kości promieniowej
Wstęp. Niestabilne i wieloodłamowe złamania końca dalszego kości promieniowej wymagają leczenia operacyjnego poprzez przezskórne wprowadzenie grotów Kirschnera, otwartą repozycję i zespolenie płytką nieblokowaną, blokowa...
Ultrasound examination in arthropathia humeroscapularis
This article discusses the diagnostic potential of ultrasonography in a common clinical condition: periarthropathia humeroscapularis. The authors describe pathologies of the rotatory cuff, the tendon of the long head of...
The role of rehabilitation and methodological problems in spinal cord repair therapies<br /> <br />
Despite the rapid development of studies of spinal cord repair therapies (SCRT), there is still a dearth of reliable reports on their clinical usefulness. Basing on a review of current literature, this article emphasises...
Zasady leczenia nieoperacyjnego skolioz idiopatycznych Wskazówki oparte o zalecenia SOSORT 2006<br />
Wstęp. Skoliozy idiopatyczne, zdefiniowane jako skrzywienia kręgosłupa przekraczające 10° kąta Cobba, dotyczą 2-3% populacji dzieci i młodzieży, natomiast skrzywienia powyżej 20°, wymagające leczenia zachowawczego, obejm...