The diagnosis and therapy of acute suppurative arthritis

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Abstract
Acute suppurative arthritis is a form of joint disease demanding prompt diagnosis and therapy. Twenty‐four cases are reviewed, and it is suggested that in addition to clinical findings, analysis of synovial fluid is essential. Synovial leukocyte count greater than 50,000 cells per cu. mm., with 90 per cent or more polymorphonuclear leukocytes and a synovial fluid‐blood sugar difference of over 40 mg. per cent all support the diagnosis. Adequate treatment consists of early therapy with systemic antibacterial agents, repeated needle aspiration of the joint and appropriate physiotherapy.
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