{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T16:45:23Z","timestamp":1726505123021},"reference-count":11,"publisher":"California Digital Library (CDL)","issue":"5","license":[{"start":{"date-parts":[[2021,5,6]],"date-time":"2021-05-06T00:00:00Z","timestamp":1620259200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Aseptic inflammatory arthritis has been reported from thorns or cactus needles after inadvertent arthrotomy. Agave sap irritants may cause an aseptic inflammatory arthritis mimicking a septic joint. \n\nCase Report: A 27-year-old male presented with left knee pain and swelling two hours after suffering an accidental stab wound to his left lateral knee by an agave plant spine. Synovial fluid white blood cell count was 92,730 mm3 with 75% neutrophils and no crystals. Surgical washout was remarkable for turbid fluid and no foreign body. Synovial fluid and blood cultures remained without growth. At two-week follow-up, the patient had recovered. \n\nConclusion: Penetrating injuries from agave thorns can cause an inflammatory arthritis that mimics septic arthritis.<\/jats:p>","DOI":"10.5811\/cpcem.2021.4.51835","type":"journal-article","created":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T01:28:30Z","timestamp":1621560510000},"page":"246-248","source":"Crossref","is-referenced-by-count":2,"title":["Accidental Arthrotomy Causing Aseptic Monoarthritis Due to Agave Sap: A Case Report"],"prefix":"10.5811","volume":"2","author":[{"given":"Sam","family":"Ontiveros","sequence":"first","affiliation":[{"name":"University of California, San Diego, Department of Emergency Medicine, San Diego, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia","family":"Minns","sequence":"additional","affiliation":[{"name":"University of California, San Diego, Department of Emergency Medicine, San Diego, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2021,5,6]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Brazzelli V, Romano E, Balduzzi A, et al. Acute irritant contact dermatitis from Agave americana L. Contact Dermatitis. 1995;33(1):60-1.","DOI":"10.1111\/j.1600-0536.1995.tb00459.x"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Olenginski TP, Bush DC, Harrington TM. Plant thorn synovitis: an uncommon cause of monoarthritis. Semin Arthritis Rheum. 1991;21(1):40-6.","DOI":"10.1016\/0049-0172(91)90055-5"},{"key":"ref2","unstructured":"Clarke JD and McCaffrey DD. Thorn injury mimicking a septic arthritis of the knee. Ulster Med J. 2007;76(3):164-5."},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Kratz A, Greenberg D, Barki Y, et al. Pantoea agglomerans as a cause of septic arthritis after palm tree thorn injury; case report and literature review. Arch Dis Child. 2003;88(6):542-4.","DOI":"10.1136\/adc.88.6.542"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Bray H, Stringer DA, Poskitt K, et al. Maple tree knee: a unique foreign body--value of ultrasound and CT examination. Pediatr Radiol. 1991;21(6):457-8.","DOI":"10.1007\/bf02026692"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Wu T, Dong Y, Song Hx, et al. Ultrasound-guided versus landmark in knee arthrocentesis: a systematic review. Semin Arthritis Rheum. 2016;45(5):627-32.","DOI":"10.1016\/j.semarthrit.2015.10.011"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Long B, Koyfman A, Gottlieb M. Evaluation and management of septic arthritis and its mimics in the emergency department. West J Emerg Med. 2019;20(2):331-41.","DOI":"10.5811\/westjem.2018.10.40974"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Long KC and Cohn KA. Lyme arthritis: an update for clinical practice. Pediatr Emerg Care. 2018;34(8):588-591.","DOI":"10.1097\/pec.0000000000001576"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Rave O, Assous MV, Hashkes PJ, et al. Pantoea agglomerans foreign body-induced septic arthritis. Pediatr Infect Dis J. 2012;31(12):1311-2.","DOI":"10.1097\/inf.0b013e31826fd434"},{"key":"ref9","unstructured":"Cherpelis BS and Fenske NA. Purpuric irritant contact dermatitis induced by Agave americana. Cutis. 2000;66(4):287-8."},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Kerner J, Mitchell J, Maibach HI. Irritant contact dermatitis from Agave americana L. Incorrect use of sap as \u201chair restorer.\u201d Arch Dermatol. 1973;108(1):102-3.","DOI":"10.1001\/archderm.1973.01620220064017"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T01:28:39Z","timestamp":1621560519000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/8sn6k32r"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,6]]},"references-count":11,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,5,18]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2021.4.51835","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2021,5,6]]}}}