Septic arthritis is a medical emergency. Doctors who treat septic arthritis include emergency physicians, internists, rheumatologists, orthopedists, infectious disease physicians, and rehabilitation-medicine providers.
How is septic arthritis diagnosed?
How Is Septic Arthritis Diagnosed? A procedure called arthrocentesis is commonly used to make an accurate diagnosis of septic arthritis. This procedure involves a surgical puncture of the joint to draw a sample of the joint fluid, known as synovial fluid. Normally, this fluid is sterile and acts as a lubricant.
What does septic arthritis feel like?
Septic arthritis typically causes extreme discomfort and difficulty using the affected joint. The joint could be swollen, red and warm, and you might have a fever.
How long does septic arthritis take to heal?
The average stay in hospital if you have septic arthritis is about 2 weeks. Most people start feeling better quickly once they are given antibiotics.
Is septic arthritis an emergency?
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.
Can septic arthritis be treated with oral antibiotics?
Abstract: Acute septic arthritis is a rare, but potentially devastating disease. The treatment is initiated intravenously, but can be safely switched to oral after 2–4 days providing large doses of a well-absorbing antibiotic and, for time-dependent antibiotics, 4 times-a-day administration are used.
Does septic arthritis require hospitalization?
Acute prosthetic joint infection (PJI) (< 3 wk in duration) can be cured medically if it is of the early type or secondary to hematogenous spread without any evidence of periarticular soft-tissue involvement or joint instability. Overall, the mean length of hospitalization for septic arthritis is 11.5 days.
What are the complications of septic arthritis?
Despite advances in diagnostic studies, powerful antibiotics, and early drainage, significant joint destruction commonly occurs. Septic arthritis can also cause many complications, including osteomyelitis, bony erosions, fibrous ankylosis, sepsis, and even death.
Can septic arthritis be seen on MRI?
According to the ACR guidelines, MRI, because of its sensitivity to soft tissue and bone marrow pathology, has high accuracy in diagnosing infection, including septic arthritis, osteomyelitis, pyomyositis, and discitis, and could be considered as the initial imaging study.
How do you exclude septic arthritis?
Synovial fluid is the gold standard for excluding septic arthritis in patients with high clinical suspicion.
Is there a blood test for septic arthritis?
Blood testing for septic arthritis may include peripheral WBC count and CRP. In cases of septic arthritis, results for all of these assays are generally elevated. Gout or other inflammatory processes may also cause these results, so further testing is required for definitive diagnosis.