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PubMed · 8633117

Septic arthritis.

A C Brower
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Abstract

Diagnosis of septic joint can be a problem for both the clinician and the imager. The longer the delay in diagnosis of a septic arthritis, the greater the chance of significant complication. Many imaging modalities are available to the imager and each plays a definite role. In determining the modality of choice, one should choose what is most efficacious for the individual patient.

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Arthritis, InfectiousArthrographyBone and BonesDiabetic FootHumansJointsMagnetic Resonance ImagingRadionuclide ImagingJournal ArticleReview

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A C Brower. 1996. Septic arthritis.. https://pubmed.ncbi.nlm.nih.gov/8633117/

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A 50-year-old man with alcoholic liver disease presented with fever, tenosynovitis, polyarthritis and a vasculitic rash on the hands and feet for 4 days. He had neutrophilia and raised inflammatory markers. He had no history of sore throat, urethral discharge or travel abroad. His initial blood cultures were negative, and he was treated for vasculitis with steroids. The rash and arthritis seemed to improve initially, but he had another episode of fever. Repeat blood cultures grew Neisseria gonorrhoeae,and he received intravenous ceftriaxone followed by oral ciprofloxacin. He had marked improvement in rash, tenosynovitis and arthritis, and the fever dropped. He also had chlamydial urethritis and received azithromycin. The presentation of disseminated gonococcal infection after a presumptive episode of asymptomatic urethral gonorrhoea is highlighted.

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