What are the three most common causative agents in adults with septic arthritis?
The types that can cause septic arthritis include:
- Staphylococci. These are common bacteria that often cause skin infections.
- Haemophilus influenzae. These are bacteria that can infect the larynx, trachea, and bronchi.
- Gram negative bacilli. This is a group of bacteria that includes E.
- Streptococci.
- Gonococci.
- Viruses.
Can you weight bear with septic arthritis?
Initial physical therapy consists of maintaining the joint in its functional position and providing passive range-of-motion exercises. The joint should bear no weight until the clinical signs and symptoms of synovitis have resolved. Aggressive physical therapy is often required to achieve maximum therapy benefit.
Which streptococcus causes septic arthritis?
The main causative pathogens for septic arthritis are Staphylococcus aureus and Streptococcus species [8,9,10]. Group B Streptococcus (GBS) is recognized as a cause of sepsis and meningitis in newborns and pregnant women [11, 12].
What mimics septic arthritis?
Clinicians should consider mimics, such as abscess, avascular necrosis, cellulitis, crystal-induced arthropathies, Lyme disease, malignancy, osteomyelitis, reactive arthritis, rheumatoid arthritis, and transient synovitis.
Why septic arthritis is more common in children?
Haematogenous bacterial spread is the most common cause of septic arthritis in children. Osteomyelitis of adjacent bones may also result in joint infection (Figure 2). This is particularly the case in joints where the metaphysis is intracapsular, such as the hip and shoulder.
How long does it take to heal from septic arthritis?
It may take four to six weeks of treatment with antibiotics to ensure complete eradication of the infectious agents.
What happens if you don’t treat septic arthritis?
If there is a delay, the infection can quickly damage parts of the joint. This may lead to pain that lasts for a long time and loss of mobility. In some cases, if left untreated, septic arthritis can lead to blood poisoning, known as septicaemia.
How urgent is septic arthritis?
Nongonococcal septic arthritis is a medical emergency that can lead to serious sequelae and mortality. Therefore, prompt recognition and treatment are critical to ensuring a good prognosis.
What are the signs of septic arthritis?
Pain from the affected joint. The pain tends to be severe and develops quite quickly.
What is the prognosis of septic arthritis?
Prognosis. Fifty percent of adults with septic arthritis have significant sequelae of decreased range of motion or chronic pain after infection. [1] Thirty percent of cases of reactive arthritis may become chronic. Complications include dysfunctional joints, osteomyelitis, and sepsis.
How serious is septic arthritis?
Septic arthritis can lead to joint, cartilage, or bone destruction. You may develop a life-threatening blood infection called sepsis. Septic arthritis may lead to infection in another part of your body and cause organ damage. You may need surgery to fuse your joints or to increase joint function.
How to diagnose septic arthritis?
Joint fluid analysis. Infections can alter the color,consistency,volume and makeup of the fluid within your joints.