General

How to manage Septic arthritis ??

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21 Jul 2016 - General
 

The symptoms for septic arthritis is usually, painful, swollen, red join with reduced range of movement, and fever. Septic arthritis cane be dure to penetrating trauma into a joint or can be spontaneous septic arthritis. Spontaneous septic arthritis ususally affect a signle large joint, can be secondary to blood vorne spread. Staphylococcus aureus is an important cause of it,  it can be due to Neisseriae gonorrhoea (less common). In the cohort with prosthetic joint, coagulase negative staphylococci infection should be considered as well. So if you highly suspect someone is having  a septic arthritis, what will be your investigation and management plan?

Would agree with your suggestions. You all have pointed out the salient investigation, management and treatment strategies for septic arthritis. In case suspicious for septic arthritis, aspiration of the joint fluid for analysis is very important Gram staining, culture and sensitivity of the aspirated joint fluid can guide in the management and treatment. Empirical antibiotic treatment, by choosing the antibiotic that has a good activity against S.aureus, and good penetration into the joint an...
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Septic arthritis is treated with antibiotics and drainage of the infected joint (synovial) fluid from the joint.Optimally, antibiotics are given immediately. Often, health-care professionals administer intravenous antibiotics in a hospital setting. The choice of antibiotics can be guided by the results of the culture of joint fluid. Until those results are known, empiric antibiotics are chosen to cover a wider range of possible infectious agents. Sometimes, combinations of antibiotics are given....
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Septic arthritis may be misdiagnosed at acute gouty arthritis. Septic arthritis is uncommon and likely there are underlying risk factor like immunocompromised state , diabetes mellitus etc. Patient with septic arthitis will typical present with severe joint pain, swelling, erythema and usually a high fever. This is an emergency as the condition itself can damage the articular cartilage resulting in severe osteoarthritis upon resolution. Patient will require urgent drainage of the joint and pus c...
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