Abstract
Acute calcium pyrophosphate crystal arthritis (CPP) or pseudogout commonly affects older adults and may manifest as fever during hospitalization. However, its recognition as a cause of fever remains under-investigated, and diagnostic delays have been reported in approximately 27% of cases. This study evaluated the diagnostic and treatment accuracies of acute CPP in acute-care hospitals over a decade. Out of 47 cases, effective treatment was administered within 24 h in only 40.4% of cases. When managed by hospitalists, the likelihood of a timely and appropriate diagnosis increases, with a reduction of about half in the unnecessary use of computed tomography scans and antibiotics.
Recommended Citation
Harada, Taku; Watari, Takashi; and Nakai, Mori
(2025)
"Pseudogout in an Acute-Care Hospital: Hospitalists as the Key to Optimized Care,"
Journal of Community Hospital Internal Medicine Perspectives: Vol. 15:
Iss.
2, Article 4.
DOI: 10.55729/2000-9666.1455
Available at:
https://scholarlycommons.gbmc.org/jchimp/vol15/iss2/4