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Septic arthritis should be considered whenever one is assessing a patient with joint pain.  Usually only one joint is affected ([[monoarthritis]]) however in ''seeding'' arthritis, several joints can be affected simultaneously; this is especially the case when the infection is caused by [[staphylococcus]] or [[gonococcus]] bacteria.
Septic arthritis should be considered whenever one is assessing a patient with joint pain.  Usually only one joint is affected ([[monoarthritis]]) however in ''seeding'' arthritis, several joints can be affected simultaneously; this is especially the case when the infection is caused by [[staphylococcus]] or [[gonococcus]] bacteria.


==History==
==Symptoms==
==Common Symptoms==
===Common Symptoms===
Symptoms usually come on quickly. There is a fever, and joint swelling that is usually in just one joint. There is also intense joint pain, which gets worse with movement.
Symptoms usually come on quickly. There is a fever, and joint swelling that is usually in just one joint. There is also intense joint pain, which gets worse with movement.


Line 22: Line 22:
* Joint redness
* Joint redness
* Low fever
* Low fever
==Less Common Symptoms==
===Less Common Symptoms===
Chills may occur, but are uncommon.
Chills may occur, but are uncommon.
==References==
==References==

Revision as of 15:09, 26 November 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Jumana Nagarwala, M.D., Senior Staff Physician, Department of Emergency Medicine, Henry Ford Hospital; Cafer Zorkun, M.D., Ph.D. [2]

Overview

Septic arthritis should be considered whenever one is assessing a patient with joint pain. Usually only one joint is affected (monoarthritis) however in seeding arthritis, several joints can be affected simultaneously; this is especially the case when the infection is caused by staphylococcus or gonococcus bacteria.

Symptoms

Common Symptoms

Symptoms usually come on quickly. There is a fever, and joint swelling that is usually in just one joint. There is also intense joint pain, which gets worse with movement.

Symptoms in newborns or infants:

  • Cries when infected joint is moved (example: diaper change causes crying if hip joint is infected)
  • Fever
  • Inability to move the limb with the infected joint (pseudoparalysis)
  • Irritability

Symptoms in children and adults:

  • Inability to move the limb with the infected joint (pseudoparalysis)
  • Intense joint pain
  • Joint swelling
  • Joint redness
  • Low fever

Less Common Symptoms

Chills may occur, but are uncommon.

References


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