Types of Bacterial Arthritis (Tuberculous arthritis (Mycobacterium…
Types of Bacterial 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
Deposition of circulating immune complexes containing meningococcal antigens
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
Local skin breaks and ulcers
Children may just not use the joint
Wash out the joint
Antibiotics = 6 weeks
Rest and Recovery