Understanding Septic Arthritis

A Comprehensive Guide to Joint Infection

Orthopedics

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Last updated: Mar 24, 2025

What is Septic Arthritis?

Septic arthritis is a serious infection of the joint space caused by bacteria, fungi, or other microorganisms. This condition requires immediate medical attention as it can rapidly damage joint tissue and cartilage.

Key Symptoms

  • Severe joint pain
  • Swelling and warmth around the affected joint
  • Fever and chills
  • Limited range of motion
  • Extreme difficulty using the affected joint

Risk Factors

  • Recent joint surgery or injection
  • Existing joint conditions (rheumatoid arthritis, osteoarthritis)
  • Weakened immune system
  • Diabetes
  • Skin infections
  • IV drug use

Diagnosis

Primary Tests

  • Joint fluid analysis (arthrocentesis)
  • Blood tests
  • Imaging (X-rays, MRI)

Secondary Evaluations

  • Culture and sensitivity testing
  • Inflammatory marker assessment

Treatment

Immediate Interventions

  1. Intravenous antibiotics
  2. Joint drainage
  3. Joint immobilization

Long-term Management

  • Physical therapy
  • Regular monitoring
  • Prevention of recurrence

Complications

  • Permanent joint damage
  • Chronic pain
  • Limited mobility
  • Osteomyelitis (bone infection)

Prevention

  • Prompt treatment of skin infections
  • Careful wound care
  • Management of underlying conditions
  • Proper sterile technique during medical procedures

When to Seek Emergency Care

  • Sudden severe joint pain
  • Joint swelling with fever
  • Inability to move the affected joint

Recovery and Outlook

With prompt treatment, many patients recover well. However, early diagnosis and aggressive treatment are crucial for the best outcomes.

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