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Types of Bacterial Arthritis (Tuberculous arthritis (Mycobacterium…
Types of Bacterial Arthritis
Gonococcal arthritis
Gram negative neisseria gonorrhoea
Most common cause in previously active fit young adults.
Involves one or several joints. Happens secondary to genital, rectal or oral infection Which are normally asymptomatic
Fever, Characteristic pustules on distal limbs. As well as having polyarthralgia and tenosynovitis
Culture blood and fluid for diagnosis. Need to take a mucosal i.e spit sample
Common in women and men who have sex with men
TREATMENT: Oral penicillin, ciprofloxacin and Doxycycline for 2 weeks and joint rest
Meningococcal arthritis
Deposition of circulating immune complexes containing meningococcal antigens
TREATMENT: penicillin
Migrating polyarthritis
Aspirate joint
Tuberculous arthritis
Mycobacterium tuberculosis
Hip, knees and intervertebral discs are most commonly affected
1% of TB patients have joint or bone involvement
Caseating granuloma and rapid destruction of cartilage and adjacent bone!
Need to do a synovial fluid culture. And biopsy of intervertebral disc. CT guided
Symptoms: night sweats, fever and weight loss
Treatment same as normal TB. 4 drugs over 9 months!!
Take a detailed history
Risk Factors
Immunosupression
Elderly
Local skin breaks and ulcers
Rehumatoid arthritis
Damaged joints
Diabetes
Presentation
Red
Swollen
Painful
Hot
Children may just not use the joint
Treatment
Wash out the joint
Antibiotics = 6 weeks
Physio
Rest and Recovery