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Welcome, medical contents search April 26, 2013
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Septic Arthritis

more about Septic Arthritis

Bacterial or infectious arthritis

  • This is an inflammation of a joint, usually the knee and hip joints.

  • Neonates:
  • Few systemic signs
  • Irritability
  • Poor feeding
  • Decreased range of motion
  • Cries when infected joint is moved
    Older patients:
  • Localized joint pain, tenderness, swelling
  • Limp
  • Decreased range of motion
  • Low-grade fever

  • Bacterial spread though the bloodstream to a joint; contiguous spread of an Osteomyelitis; or direct introduction of a microorganism into the joint cavity
  • Haemophilus influenzae Type b in children between 2 months and 5 years of age
  • Staphylococcus aureus in neonates and children older than 5 years of age
  • Group B Streptococcus, Escherichia coli in neonates
  • N. gonorrhea in adolescents
  • Mycobacterium Tuberculosis and Candida albicans in chronic septic arthritis

  • Blood tests show elevated ESR, CRP, and white blood cell count.
  • Blood culture shows microorganism in 30%-40% of cases.
  • Arthrocentesis
  • Plain X-ray shows swelling with widening of the joint space.
  • Ultrasonography shows effusion in the joint.
  • Synovial biopsy

  • Antibiotics
  • Irrigation and drainage of the joint
  • Immobilization of the joint

  • Limb-length shortening
  • Joint deformity, degeneration

  • Poor prognostic factors are young age, delayed therapy, arthritis due to S. aureus, gram-negative or fungal pathogen, or hip or shoulder involvement.

more about Septic Arthritis

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