Condition Info - BotMed Application

ConditionName

Septic arthritis

ConditionDescription

Infection in joint space

Symptoms

Joint is red, warm, immobile, palpable effusion;
Chills and fever b/c of bacteremia;
Pain with any motion

PhysicalFindings

ClinicalTests

Best initial test: arthrocentesis of the joint (joint aspiration);
xRay, CT MRI – NEVER!

Leucocytosis (neutrophils);
↑ESR↑CPR;

Blood culture is less sensitive test;

RiskFactors

A systemic blood-borne infection;
IV drug use;
Osteoarthritis;
Past history of septic arthritis;
Rheumatoid arthritis.

Other factors that may increase the risk for septic arthritis include:
Alcoholism;
Diabetes;
HIV;
Lung or liver disorders;
Old age;
Suppressed immune system.

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

Joint damage :
OA – some risk;
RA – bigger risk;
Prosthetic joint – great risk;

Staph: 40%;
Strep: 30%;
Gram(-):20% in DM, Cancer;

TreatmentOptions

PharmOptions

Ceftriaxone – best initial treatment for Neisseria;
Surgery, drainage

WebLink

https://www.merckmanuals.com/en-ca/professional/musculoskeletal-and-connective-tissue-disorders/infections-of-joints-and-bones/acute-infectious-arthritis