Home Septic arthritis: Acute bacterial

Septic arthritis: Acute bacterial

Types

Defining Characteristics

Swollen, hot, monoarticular arthritis w/ passive motion; less uncommon – fever/chills

Disease Development

Generally hematogeous spread of bacteria or possible iatrogenic spread (joint injections for RA/OA)

Potential Causes

S. aureus Streptococci GN rods

Risk factors

Recent trauma (animal/ human bites)
Immunocompromised RA/gout/sickle cell
IVDU

Lab/Imaging

Tap joint? Elevated WBC
Gram stain & cx

Conventional Treatment

Joint drainage (serial taps, open procedure)
Systemic Abs 2-4wks