Gram – Joint fluid: 4+ (>10/oif) neutrophils, 4+ (>50/oif) gram negative bacilli (Escherichia coli) – Shipped February 20, 2017
A simulated joint fluid smear collected from 33 year old in a bicycle accident was sent to category A, B, C, and C1 laboratories.
Participants were expected to report the presence of neutrophils and gram negative bacilli.
MAIN EDUCATIONAL POINTS from GS164-2
- Gram negative bacteria are an uncommon but important cause of native-joint septic arthritis
- 1. Correct direct microscopic examination of synovial fluid and reporting of gram negative septic arthritis plays an important of early treatment and prevention of septic arthritis complications.