DSC analysis of human synovial fluid samples in the diagnostics of non-septic and septic arthritis

The synovial fluid analysis is an important method in diagnosing and managing septic arthritis. To reach a quick diagnosis, preferably faster than the microbiological cultures, could be a great advantage in the therapy. The differential scanning calorimetry (DSC) has recently been found useful in the differential diagnosis of septic and non-septic periprosthetic conditions. The aim of this study was to evaluate whether there is a specific pattern in the different grades of arthritis, and the effect of three different bacterial strains inoculated in synovial fluid. The sensitivity of our method was also determined by using synovial fluid samples with the different bacterial concentrations. Authors developed a standardized, experimental model to assess the denaturation characteristics of non-septic and inoculated synovial fluid, infected by different bacterial strains. The thermal characteristics [maximal denaturation temperature ( T m ) and calorimetric enthalpy change (Δ H cal )] were monitored by SETARAM Micro DSC-II calorimeter. The denaturation scans clearly demonstrated specific, representative curves in the case of different grades of arthritis, as well as with each individual bacterial strain. Therefore, thermoanalyses of human synovial fluid samples by DSC could be a useful tool in the staging of osteoarthritis and the diagnostics of septic arthritis.