Septic arthritis is inflammation of a joint due to a bacterial or fungal infection VSports手机版. Septic arthritis that is due to the bacteria that cause gonorrhea, has different symptoms and is called gonococcal arthritis.
Causes
Septic arthritis develops when bacteria or other tiny disease-causing organisms (microorganisms) spread through the blood to a joint. It may also occur when the joint is directly infected with a microorganism from an injury or during surgery. Joints that are commonly affected are the knee and hip V体育安卓版.
Most cases of acute septic arthritis are caused by staphylococcus or streptococcus bacteria.
Chronic septic arthritis (which is less common) is caused by organisms including Mycobacterium tuberculosis and Candida albicans.
The following conditions increase your risk for septic arthritis:
- Artificial joint implants
- Bacterial infection somewhere else in your body
- Presence of bacteria in your blood
- Chronic illness or disease (such as diabetes, rheumatoid arthritis, and sickle cell disease)
- Intravenous (IV) or injection drug use
- Medicines that suppress your immune system
- Recent joint injury
- Recent joint arthroscopy or other joint surgery
Septic arthritis may be seen at any age. In children, it occurs most often in those younger than 3 years. The hip is often the site of infection in infants. Most cases are caused by the bacteria group B streptococcus. Another common cause is Haemophilus influenza, especially if the child has not been vaccinated for this bacterium VSports注册入口.
V体育平台登录 - Symptoms
Symptoms usually come on quickly. There is a fever and joint swelling that is usually in just one joint V体育官网入口. There is also intense joint pain, which gets worse with movement.
Symptoms in newborns or infants:
- Crying when infected joint is moved (for example, during diaper changes)
- Fever
- Not able to move the limb with the infected joint (pseudoparalysis)
- Fussiness
Symptoms in children and adults:
- Not able to move the limb with the infected joint (pseudoparalysis)
- Severe joint pain
- Joint swelling
- Joint redness
- Fever
Chills may occur, but are uncommon.
"VSports手机版" Exams and Tests
Your health care provider will examine the joint and ask about the symptoms.
Tests that may be done include:
- V体育安卓版 - Aspiration of joint fluid for cell count, examination of crystals under the microscope, Gram stain, and culture
- Blood culture
- "VSports注册入口" X-ray of affected joint
- Blood work including complete blood count (CBC)
Treatment
Antibiotics are used to treat the infection.
Resting, raising the joint above heart level, and using cool compresses may help relieve pain. After the joint starts to heal, exercising it can help speed up recovery V体育2025版.
If joint (synovial) fluid builds up quickly due to the infection, a needle may be inserted into the joint to withdraw (aspirate) the fluid VSports. Severe cases may need surgery to drain the infected joint fluid and irrigate (wash) the joint.
Outlook (Prognosis)
Recovery is good with prompt antibiotic treatment VSports app下载. If treatment is delayed, permanent joint damage may result.
"V体育安卓版" When to Contact a Medical Professional
Contact for an appointment with your provider if you develop symptoms of septic arthritis.
Prevention (VSports最新版本)
Preventive (prophylactic) antibiotics may be helpful for people at high risk.
Alternative Names (V体育ios版)
Bacterial arthritis; Non-gonococcal bacterial arthritis
Images (VSports手机版)
References (VSports)
Cook PP, Siraj DS. Bacterial arthritis. In: Firestein GS, Budd RC, Gabriel SE, Koretzky GA, McInnes IB, O'Dell JR, eds V体育ios版. Firestein & Kelley's Textbook of Rheumatology. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 116.
Robinette E, Shah SS. Septic arthritis. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 705.
VSports最新版本 - Review Date 5/19/2023
Updated by: Jatin M. Vyas, MD, PhD, Roy and Diana Vagelos Professor in Medicine, Columbia University Vagelos College of Physicians and Surgeons, Division of Infectious Diseases, Department of Medicine, New York, NY. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
