Bacteria can be introduced into a joint by:
Hematogenous spread (most common)
Contiguous infection (e.g., osteomyelitis, cellulitis)
Direct inoculation such as plant ...
Presents abruptly as a single painful, swollen, warm, tender joint
Common findings include:
A separate source of infection (e.g., skin)
Extremely painful joint motion in ...
Patient may be septic and require resuscitation.
If patient is toxic, do not delay antibiotics for aspiration results.
All patients with suspected SA should be admitted until SA is ruled out.
May undergo drainage of joint, as indicated, by serial aspirations, arthroscopy, or arthr...
CRP and ESR can be used to follow up response to treatment
It can be difficult to distinguish SA from toxic synovitis or crystal arthropathy; have a low threshold for arthrocentesis...
Carpenter CR, Schuur JD, Everett WW, et al. Evidence-based diagnostics: Adult septic arthritis. Acad Emerg Med. 2011;18:781–796.
Coakley G, Mathews C, Field M, et al. BSR...
711.00 Pyogenic arthritis, site unspecified
711.05 Pyogenic arthritis, pelvic region and thigh
711.45 Arthropathy associated with other bacterial diseases, pelvic region and thigh
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