Description of Event or Problem · 1
THIS SERIOUS CASE WAS REPORTED BY A PHYSICIAN AND DESCRIBES THE OCCURRENCE OF ARTHRITIS IN A FEMALE PT WHO WAS TREATED WITH HYALGAN 20MG/2ML FOR GONARTHROSIS. ABOUT NINE MONTHS LATER, THE PT RECEIVED A TREATMENT WITH HYALGAN IN THE KNEE AND THE SAME DAY SHE WAS FOUND TO HAVE PSEUDOSEPTIC ARTHRITIS, REDNESS, WARMTH, IMPOTENCE OF THE JOINT, AND FEVER WHICH LASTED 2 DAYS. ARTICULAR FLUID WAS PUS-LIKE CONATINED MANY POLYNUCLEAR CELLS, BUT BACTERIOLOGICAL RESEARCH WAS NEGATIVE. SEDIMENTATION RATE=123/125, WBC = 11700, CRP = 30,8 MG/L. THIS PT PAST MEDICAL HISTORY INCLUDES THYROIDECTOMY, DIFFUSE ARTHROSIS, RHEUMATOID ARTHRITIS SINCE 1997, ARTHRODESIS. THE PT WAS CONCOMITANTLY TREATED WITH CORTANCYL (PREDNISONE), METHOTREXATE (METHOTREXATE). THE PT HAS RECOVERED WITHIN 8 DAYS. METHOTREXATE WAS DISCONTINUED THEN A RECHALLENGE WAS PERFORMED WITH THIS DRUG, WHICH WAS NEGATIVE, ACCORDING TO THE REPORTER. NO FURTHER DETAILS AVAILABLE. ADD'L INFO WILL BE PROVIDED WHEN AVAILABLE.