Skip to main content

Arthritis, Infectious, Granulomatous

Jacqueline L. Yurgil, DO and Christopher W. Bunt, MD, FAAFP Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Invasion of joints by microorganisms; often as part of a systemic infection/disease

  • Curable type of arthritis

  • System(s) affected: musculoskeletal

  • Synonym(s): fungal arthritis; mycobacte...

DIAGNOSIS

HISTORY

  • Predominantly monoarticular (90%)

  • Fungal arthritis may present as a migratory polyarthritis, particularly with Coccidioides immitis and Histoplasma capsulatum.

  • Oligoarticular reactive a...

TREATMENT

GENERAL MEASURES

  • Fungal: Hospitalize for parenteral therapy.

  • Mycobacterial: outpatient

  • Brucella: outpatient

  • Repeat arthrocentesis if fluid reaccumulates.

  • Prosthetic joint infections may be diffic...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Verify sterilization of joint and normalization of inflammatory markers.

  • Treatment of mycobacterial arthritis requires monthly CBC. Assess liver ...

REFERENCES

1
Magnussen A, Dinneen A, Ramesh P. Osteoarticular tuberculosis: increasing incidence of a difficult clinical diagnosis. Br J Gen Pract.  2013;63(612):385–386. {L-End} [View Abstract o...

ADDITIONAL READING

  • Abdulaziz S, Almoallim H, Ibrahim A, et al. Poncet's disease (reactive arthritis associated with tuberculosis): retrospective case series and review of literature. Clin Rheumatol. ...

CODES

ICD10

  • M00.9 Pyogenic arthritis, unspecified

  • A18.02 Tuberculous arthritis of other joints

  • M00.80 Arthritis due to other bacteria, unspecified joint

  • B49 Unspecified mycosis

  • M06.9 Rheumatoid arthritis, ...

CLINICAL PEARLS

  • Infectious arthritis may present as fever of unknown origin.

  • Fungal joint infection may present with synovial thickening and tenderness. Erythema and pain may not be present.

  • Spinal TB c...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×