ACUTE INFECTIVE SYNOVITIS OF RT KNEE JOINT | COMPLETE RECOVERY IN JUST 45 DAYS

ACUTE INFECTIVE SYNOVITIS OF RT KNEE JOINT | COMPLETE RECOVERY IN JUST 45 DAYS

ACUTE INFECTIVE SYNOVITIS OF RT KNEE JOINT | COMPLETE RECOVERY IN JUST 45 DAYS

AGE-2YR/MALE CHILD
PRESENT C/O- SWELLING OF RT KNEE JOINT, PAIN IN RT LEG AND PT UNABLE TO WALK SINCE LAST 5-6 DAYS.

HISTORY GIVEN BY FATHER- (4/1/2019)
CHILD HAD INJURY ON GREAT TOE OF RT FOOT WHILE PLAYING. FAMILY DOCTOR GAVE HIM MEDICINE FOR PAIN BUT DIDN’T GET ANY RELIEF. NEXT DAY THERE WAS SWELLING EXTENDED FROM TOE TO RT KNEE JOINT AND CHILD WAS IN SEVERE AGONY AND UNABLE STEP FOOT ON THE FLOOR, SO HE WAS ADVISED TO CONSULT PAEDIATRIC ORTHOPAEDIC. MRI AND BLOOD REPORTS SUGGESTING RT KNEE INFECTIVE ARTHRITIS WITH EFFUSION.

HE WAS ADMITTED IN HOSPITAL FOR 4 DAYS AND HE WAS GIVEN CONSERVATIVE TREATMENT WHICH GAVE HIM NO RELIEF. HE WAS THEN ADVISED FOR EMERGENCY OPERATION TO STOP SPREADING INFECTION TO OTHER JOINTS, BUT DUE TO POOR FINANCIAL CONDITION PT’S RELATIVES REFUSE TO GO FOR SURGERY.
AFTER FAMILY PHYSICIAN’S ADVISE PARENTS DECIDED TO TAKE HOMOEOPATHY TREATMENT.

ON 4TH JANUARY AT MIDNIGHT I TOOK THE CASE AT HOSPITAL, AS PT WAS SMALL CHILD, I GAVE MORE IMPORTANCE TO OBSERVATION. OTHER DETAILS WAS GIVEN BY HIS PARENTS. FINALLY, I PRESCRIBED HIM A MEDICINE, AND ADVISE THEM TO APPLY AT WRIST (RADIAL SIDE) EVERY 2HOURLY.

OBSERVATION IN HOSPITAL-
SWELLING ON RT KNEE JOINT AND CHILD WAS COVERED WITH SHAWL ON HIS LEG. WHILE REMOVING HIS SHAWL CHILD WAS CRYING EXCESSIVELY, SO HE WANTED TO COVER DURING THIS CONDITION.

HIS CRYING WAS VERY SHRIEKING TYPE WHILE TOUCH ON RT LEG AND ALSO CHILD LIED ON RT LEG WHICH WAS AFFECTED, SO THIS IS UNCOMMON. ON EXAMINING JOINT HE CRIED EXCESSIVE LOUDLY.

ANALYSIS:-

1. INFECTIVE/SEPTIC ARTHRITIS
2. DEATH DESIRE-MENTAL
3. SEPTICAEMIA BLOOD POISONING , PYEMIA-GENERAL
4. MENTAL-SHRIEKIG, TOUCHED WHEN
5. GEN- LYING, AMELIORATION SIDE ON PAINFUL
6. INFLAMMATION, JOINTS ARTHRITIS SYNOVIA

FOLLOW UP ON NEXT DAY-5-1-19

PT SLEPT WELL ALL NIGHT. REPORT SHOWS DECREASE IN WBC COUNT WHICH SUGGEST SEPSIS LOWER DOWN

FOLLOW UP ON 26-1-19 AT CLINIC

CHILD PLAYFUL AND EATING WELL AND ALSO GAIN WEIGHT
CRP-2.78 MG/L (14-1-19)
WBC-10000
X RAY RIGHT HIP WITH ANKLE –SHOWS(16-1-19)
MODERATE TO SEVERE ENLARGED JOINT SPACE AT TIBIO FEMORAL AND PRE FEMORAL REGION
S/O JOINT EFFUSION ( SO IT IS SYCOSIS-ACCUMULATION OF FLUID MEANS DEGENERATION OF CARTILAGE OR JOINT IS TRANSFER TO PROTECTION JOINT SO ACCUMULATE FLUID IN JOINT)
PT ABLE TO WALK WITH SUPPORT
VIDEO NO 2
RX-SL 1 MONTH

NEXT FOLLOW UP ON 22-2-19
CRP-2.34 MG/L
X RAY RT LOWER LEG –BONY RADIOPACITY SOFT TISSUE ADJACENT TO DISTAL DIAPHYSIS OF FEMAR
? MYOSITIS OSSIFICANS ( IT’S A CONDITION WHERE BONE TISSUE FORMS INSIDE MUSCLE OR OTHER SOFT TISSUE AFTER AN INJURY).
PT FREELY WALK AND RUN ON HIS OWN WITHOUT SUPPORT.

AND THEN ADVISED TO STOP TREATMENT AS THEIR WAS NO COMPLAIN.
4 MONTHS HAS BEEN PASSED AND HE IS COMPLETELY HEALTHY. NO ISSUES.

CASE WAS TREATED BY DR. CHIRAG PATOLIYA, SURAT. MOBILE: 90991 45459

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