A 66-year-old man with diabetes mellitus and hyperuricemia presented to the emergency department with a 3-day history of swelling of the right ankle joint. Arthrocentesis was performed, showing calcium pyrophosphate crystals and Gram positive streptococci in the same field of view on Gram staining (panel A). The white blood cell count in synovial fluid was 90,000/μL with polymorphonuclear leuko...

Acute septic arthritis may develop as a result of hematogenous seeding, direct introduction, or extension from a contiguous focus of infection. The pathogenesis of acute septic arthritis is multifactorial and depends on the interaction of the host immune response and the adherence factors, toxins, and immunoavoidance strategies of the invading pathogen. Neisseria gonorrhoeae and Staphylococcus ...

Sternoclavicular joint septic arthritis (SSA) is rare and often difficult to manage condition. The sternoclavicular joint is an unusual site of septic arthritis in healthy persons, but may be commonly involved in intravenous drug users, primary or secondary immunosuppressive disorders, infections or the presence of infected central lines. After thorough literature search, no cases have yet been...

We report the results of low friction arthroplasty in 72 old tuberculous hips and 42 hips with old quiescent septic arthritis. Follow-up was for a minimum of two years. Recrudescence of tuberculosis was seen in only one patient, but deep infection occurred in four of the hips with previous septic arthritis. The reasons for this are discussed. It is recommended that patients with old tuberculous...

Septic arthritis of the knee is most common form septic in children and can lead to irreversible damage joint. Staphylococcus aureus primary pathogen associated with arthritis, although other causative pathogens may be isolate specific risk factors. The diagnosis based on comprehensive evaluation, including patient's medical history, physical examination, blood tests, arthrocentesis. Empirical ...

BACKGROUND Septic arthritis is a disabling and potentially life-threatening condition that requires prompt diagnosis and treatment. The most important risk factors are joint prosthesis, pre-existing joint disease and immunosuppressive drugs. The aim of our study therefore was to revaluate all septic arthritis cases discharged from our Rheumatologic Unit in the last 12 years, to assess the risk ...