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Molecular diagnosis of ureaplasma urealyticum septic arthritis in a patient with hypogammaglobulinemia
Authors:Albert H. Lee  Thaila Ramanujam  Paul Ware  Paul H. Edelstein  John J. Brooks  Bruce Freundlich  H. Ralph Schumacher  Robert B. Zurier  David B. Weiner  William V. Williams
Abstract:Objective. We report a hypogammaglobulinemic patient with a destructive oligoarticular arthritis, whose synovial fluid cultures were repeatedly sterile. Methods and Results. We identified a Ureaplasma urealyticum infection in his affected joints, using a polymerase chain reaction (PCR) assay. Conclusion. The PCR technique promises to be extremely valuable in the rapid and specific diagnosis of infectious arthritis.
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