{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:05Z","timestamp":1753877165133,"version":"3.41.2"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,4,13]],"date-time":"2023-04-13T00:00:00Z","timestamp":1681344000000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Procalcitonin (PCT) and C-reactive protein (CRP) are considered markers used in clinical practice to differentiate bacterial infections from autoimmune origin. Here we evaluate a rare case of a male patient diagnosed with juvenile idiopathic arthritis. The patient presented repeatedly to our department with atraumatic femoral head necrosis, traumatic medial femoral neck fracture and peri-implant femoral fracture. While undergoing repeated surgical interventions including a removal of osteosynthesis material and total endoprosthesis of his right hip including double subtrochanteric osteotomy, the patient developed drastically increasing infection parameters of PCT and CRP. After a completely inconspicuous revision we revealed the untypical genesis of a rheumatic cause. Consequently, we emphasize this etiology to be considered in further decision making for trauma surgery.<\/jats:p>","DOI":"10.1093\/jscr\/rjad168","type":"journal-article","created":{"date-parts":[[2023,4,13]],"date-time":"2023-04-13T01:29:56Z","timestamp":1681349396000},"source":"Crossref","is-referenced-by-count":1,"title":["A rare case of severely elevated septic parameters caused by intercurrent juvenile rheumatoid arthritis despite dual trauma surgery"],"prefix":"10.1093","volume":"2023","author":[{"given":"Lennard M","family":"Wurm","sequence":"first","affiliation":[{"name":"Department of Traumatology and Reconstructive Surgery, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin, Humboldt-Universit\u00e4t zu Berlin and Berlin Institute of Health , Berlin , Germany"},{"name":"Medical Faculty Heinrich-Heine University and University Hospital D\u00fcsseldorf , D\u00fcsseldorf , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian R","family":"Andresen","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Reconstructive Surgery, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin, Humboldt-Universit\u00e4t zu Berlin and Berlin Institute of Health , Berlin , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justyna","family":"Reinke","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Reconstructive Surgery, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin, Humboldt-Universit\u00e4t zu Berlin and Berlin Institute of Health , Berlin , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denis","family":"Poddubnyy","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology , Infectious Diseases and Rheumatology, , Berlin , Germany"},{"name":"Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin, Humboldt-Universit\u00e4t zu Berlin and Berlin Institute of Health , Infectious Diseases and Rheumatology, , Berlin , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"Ertel","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Reconstructive Surgery, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin, Humboldt-Universit\u00e4t zu Berlin and Berlin Institute of Health , Berlin , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michal W","family":"Jagielski","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Reconstructive Surgery, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin, Humboldt-Universit\u00e4t zu Berlin and Berlin Institute of Health , Berlin , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,4,12]]},"reference":[{"key":"2023041301294921600_","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.arthro.2007.07.029","article-title":"Can serum procalcitonin help to differentiate between septic and nonseptic arthritis?","volume":"24","author":"Fottner","year":"2008","journal-title":"Arthroscopy J Arthroscopic Related Surg"},{"key":"2023041301294921600_","doi-asserted-by":"crossref","first-page":"2265","DOI":"10.1007\/s10067-019-04542-0","article-title":"Value of serum procalcitonin for the diagnosis of bacterial septic arthritis in daily practice in rheumatology","volume":"38","author":"Chouk","year":"2019","journal-title":"Clin Rheumatol"},{"key":"2023041301294921600_","doi-asserted-by":"crossref","first-page":"1704","DOI":"10.1002\/ccr3.2968","article-title":"False-positive semiquantitative immunochromatography assays for procalcitonin in three patients with rheumatoid arthritis\u2014a case series","volume":"8","author":"Sato","year":"2020","journal-title":"Clinical Case Reports"},{"key":"2023041301294921600_","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.3346\/jkms.2011.26.9.1147","article-title":"Serum procalcitonin for differentiating bacterial infection from disease flares in patients with autoimmune diseases","volume":"26","author":"Joo","year":"2011","journal-title":"J Korean Med Sci"},{"key":"2023041301294921600_","doi-asserted-by":"crossref","first-page":"1517","DOI":"10.3899\/jrheum.111601","article-title":"Procalcitonin is a specific marker for detecting bacterial infection in patients with rheumatoid arthritis","volume":"39","author":"Sato","year":"2012","journal-title":"J Rheumatol"}],"container-title":["Journal of Surgical Case 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