{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:43:50Z","timestamp":1787755430236,"version":"build-2784847793"},"reference-count":48,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report the case of acute gouty arthritis mimicking infection in a 59-year-old woman who had an extensive history of periprosthetic joint infection (PJI) and multiple revisions. Initial laboratory testing, examination, and recency bias suggested recurrent PJI, but aspiration revealed an acute gout attack without superimposed infection. The patient\u2019s examination and serological markers improved off antibiotics, and she subsequently avoided an unnecessary revision surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although rare, acute gouty arthritis should be considered in every patient, and complete workup should be performed, regardless of infectious or rheumatologic history.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00023","type":"journal-article","created":{"date-parts":[[2023,6,24]],"date-time":"2023-06-24T15:00:51Z","timestamp":1687618851000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Diagnosis Dilemma, Culture-Negative Periprosthetic Hip Infection Versus Acute Gouty Arthritis"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5260-4506","authenticated-orcid":false,"given":"Aleksander","family":"Mika","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5952-9480","authenticated-orcid":false,"given":"William","family":"Gilbert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4125-2154","authenticated-orcid":false,"given":"John Ryan","family":"Martin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8990-7578","authenticated-orcid":false,"given":"Gregory","family":"Polkowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,4]]},"reference":[{"issue":"2","key":"bib1-20240731","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1002\/acr.24131","article-title":"2019 American college of rheumatology\/arthritis foundation guideline for the management of osteoarthritis of the hand, hip, and knee","volume":"72","author":"Kolasinski","year":"2020","journal-title":"Arthritis Care Res (Hoboken)."},{"issue":"7","key":"bib2-20240731","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1136\/ard.2003.017988","article-title":"Tophaceous gout of the pubic symphysis: an unusual cause of groin pain","volume":"63","author":"Gardner","year":"2004","journal-title":"Ann Rheum Dis."},{"issue":"8","key":"bib3-20240731","doi-asserted-by":"crossref","first-page":"204798161454926","DOI":"10.1177\/2047981614549269","article-title":"Spinal and sacroiliac gouty arthritis: report of a case and review of the literature","volume":"3","author":"Cardoso","year":"2014","journal-title":"Acta Radiol Short Rep."},{"issue":"3","key":"bib4-20240731","doi-asserted-by":"crossref","first-page":"609","DOI":"10.3899\/jrheum.080374","article-title":"Gout in the axial skeleton","volume":"36","author":"Konatalapalli","year":"2009","journal-title":"J Rheumatol."},{"issue":"2","key":"bib5-20240731","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/j.jbspin.2018.10.005","article-title":"Dual-energy CT for the diagnosis of sacroiliac and spinal gout","volume":"86","author":"Chew","year":"2019","journal-title":"Joint Bone Spine."},{"issue":"11","key":"bib6-20240731","doi-asserted-by":"crossref","first-page":"1907","DOI":"10.1136\/ard.2010.128454","article-title":"The pathogenesis of bone erosions in gouty arthritis","volume":"69","author":"Schlesinger","year":"2010","journal-title":"Ann Rheum Dis."},{"issue":"06","key":"bib7-20240731","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1055\/s-0040-1716507","article-title":"Distinguishing periprosthetic crystalline arthropathy from infection in total knee arthroplasty: a systematic review","volume":"35","author":"Bradley","year":"2022","journal-title":"J Knee Surg."},{"issue":"1","key":"bib8-20240731","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1177\/2151458510373745","article-title":"Gout arthropathy following hip arthroplasty: a need for routine aspiration microscopy? 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