Nongonococcal Septic Arthritis

Cure Arthritis Naturally

Cure Arthritis Naturally

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Three mechanisms can lead to septic arthritis: (1) hematogenous spread of bacteria, (2) migration of bacteria from a focus contiguous to a joint, and (3) direct inoculation of bacteria into the joint.

Septic arthritis is a medical emergency. A rampant bacterial infection with a normal inflammatory response can destroy a joint within hours to days. The involved joint can become exquisitely painful over a few hours. On examination, effusions may be scant, with significant splinting and resistance to movement.

Although the classic bacterial arthritis patient is described as febrile with chills and rigors, a 10-year retrospective review of 43 adult patients noted presence of fever or rigors in only 40 and 21 percent of patients, respectively.10 Thus, the absence of constitutional symptoms should not preclude a septic arthritis diagnosis. A suspicion for a bacterial infection should always guide clinical decision making when approaching patients with monoarthritis.

After joint aspiration, if septic arthritis cannot be excluded, the patient should be admitted for pain control and parenteral antibiotics until synovial culture results are available. Consultation with the orthopedics or infectious disease departments is desirable. Repeat closed needle aspiration, arthroscopy, or open surgical drainage may be required, depending on a number of factors, including consultant preference, patient age, affected joint, and likelihood of septic source.

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