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Arthritis, Infectious, Granulomatous

Jacqueline L. Yurgil, DO, Steven Embry, DO and Jake Herber, Master's of Biomedical Sciences, Doctor of Osteopathic Medicine Reviewed 04/2024
 


BASICS

DESCRIPTION

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

  • System(s) affected: musculoskeletal

  • Synonym(s): fungal arthritis; mycobacterial arthritis; subacute...

DIAGNOSIS

HISTORY

  • Relevant medical, travel, exposure, or occupational history.

  • Predominantly monoarticular (90%), usually involving large, weight-bearing joints, such as the hip or knee (2).

  • Joint pain,...

TREATMENT

GENERAL MEASURES

  • Fungal: Hospitalize for definitive diagnosis, parenteral therapy, and likely surgical intervention.

  • Mycobacterial, Brucella: can often be managed outpatient.

  • Management usually...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Mycobacterium:

    • Baseline: sputum smear and culture, symptoms, vitals, visual acuity, neuropathy, CMP, CBC, CXR. HIV testing encou...

REFERENCES

1
Held MFG, Hoppe S, Laubscher M, et al. Epidemiology of Musculoskeletal Tuberculosis in an Area with High Disease Prevalence. Asian Spine J. 2017;11(3):405–411.
2
Mishra A, Juneja D. Fungal ...

ADDITIONAL READING

SEE ALSO

Earwood JS, Walker TR, Sue GJC. Septic Arthritis: Diagnosis and Treatment. Am Fam Physician. 2021;104(6):589-597.  

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

  • Medical, travel, exposure, and occupational histories are important to gather during clinical evaluation of new onset joint pain.

  • Infectious arthritis may present as fever of unknown or...

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