22 June 2020>: Articles
Acute Opioid Withdrawal Mimicking Postoperative Joint Infection Following Anterior Cruciate Ligament (ACL) Reconstruction: A Case Report
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Unexpected drug reaction
Qingwu Kong E* , Martin Griffis E , Brandon J. Shallop A , Amrit S. Khalsa A , Kyle Brougham C , Paul A. Marchetto ADOI: 10.12659/AJCR.923458
Am J Case Rep 2020; 21:e923458
Table 1. Table of patient’s examination and findings.
Evaluated by urgent care | Evaluated by surgeon | |
Percocet 5/325 mg, 2 tablets every 4 hours (Day 0–6) | Acetaminophen 325 mg, 2 tablets every 4 hours (Day 7–10) | |
101.6°F (38.7°C) | ||
No pain with ambulation | No pain with ambulation | |
Incision healing appropriately. No erythema, warmth, or drainage | Incision healing appropriately. No erythema, warmth, or drainage | |
Moderate | Moderate | |
0–90 degrees | 0–90 degrees | |
3 mL bloody fluid | 30 mL bloody fluid4.7 million RBC10.7 thousand WBCNo organism on Gram stain or culture |