Septic arthritis - Revision history

Aidan at 15:32, 14 December 2022

2022-12-14T15:32:09Z

← Older revision		Revision as of 15:32, 14 December 2022
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	**Fungal infections including [[Candida]], [[Blastomyces dermatitidis]], [[Cryptococcus]], [[Coccidioides immitis]], and [[Sporothrix schenckii]]		**Fungal infections including [[Candida]], [[Blastomyces dermatitidis]], [[Cryptococcus]], [[Coccidioides immitis]], and [[Sporothrix schenckii]]
	**Viral infections including [[HIV]], [[hepatitis B virus]], [[hepatitis C virus]], [[parvovirus B19]], and alphaviruses including [[chikungunya virus]]		**Viral infections including [[HIV]], [[hepatitis B virus]], [[hepatitis C virus]], [[parvovirus B19]], and alphaviruses including [[chikungunya virus]]

			== Investigations ==

			* Note: for fluid analysis, 1 cells/microL = 1,000,000 (1E6) cells/L; alternatively 1E9 cells/L = 1,000 cells/microL

	==Management==		==Management==

Aidan: Text replacement - " species]]" to "]]"

2022-02-11T21:14:07Z

Text replacement - " species]]" to "]]"

Aidan: /* Management */

2021-03-15T03:05:20Z

Management

@@ Line 21: / Line 21: @@
 **Viral infections including [[HIV]], [[hepatitis B virus]], [[hepatitis C virus]], [[parvovirus B19]], and alphaviruses including [[chikungunya virus]]
-== Management ==
+==Management==
-* Empiric: typically treated empirically with [[vancomycin]] and [[ceftriaxone]] empirically, followed by directed therapy
+*Empiric: typically treated empirically with [[vancomycin]] and [[ceftriaxone]] empirically, followed by directed therapy
 [[Category:Infectious diseases]]

Aidan at 21:04, 6 July 2020

2020-07-06T21:04:54Z

← Older revision		Revision as of 21:04, 6 July 2020
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⚫	[[Category:Bone and joint infections]]

	==Background==		==Background==

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	[[Category:Infectious diseases]]		[[Category:Infectious diseases]]
		⚫	[[Category:Bone and joint infections]]

Aidan: added management

2020-07-06T21:04:36Z

added management

← Older revision		Revision as of 21:04, 6 July 2020
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	[[Category:Bone and joint infections]]		[[Category:Bone and joint infections]]

	== Background ==		==Background==

	=== Microbiology ===		===Microbiology===

	* Gonococcal: [[Neisseria gonorrhoeae]], more common in young, sexually active adults		*Gonococcal: [[Neisseria gonorrhoeae]], more common in young, sexually active adults
	* Non-gonococcal bacterial:		*Non-gonococcal bacterial:
	** [[Staphylococcus aureus]], in immunocompetent and immunocompromised people as well as those at risk for [[Staphylococcus aureus bacteremia]]		**[[Staphylococcus aureus]], in immunocompetent and immunocompromised people as well as those at risk for [[Staphylococcus aureus bacteremia]]; this is the most common causative organism overall
	** [[Group B streptococci]], more common in poorly-controlled [[diabetes]]		**[[Group B streptococci]], more common in poorly-controlled [[diabetes]]
	** [[Streptococcus pneumoniae]], more common in patients with [[hyposplenia]]		**[[Streptococcus pneumoniae]], more common in patients with [[hyposplenia]]
	** [[Enterobacteriaceae]], especially if GI illness, or immunocompromised patients and those who inject drugs		**[[Enterobacteriaceae]], especially if GI illness, or immunocompromised patients and those who inject drugs
	** [[Pseudomonas species]], more common in [[diabetes]], immunocompromised, trauma, or water exposures		**[[Pseudomonas species]], more common in [[diabetes]], immunocompromised, trauma, or water exposures
	** [[Aeromonas species]], more common after exposure to brackish water		**[[Aeromonas species]], more common after exposure to brackish water
	** [[Salmonella species]], especially in patients with [[sickle cell disease]] or [[HIV]]		**[[Salmonella species]], especially in patients with [[sickle cell disease]] or [[HIV]]
	** [[Eikenella corrodens]] and [[Peptostreptococcus species]], especially if recent bite or other oral flora contamination		**[[Eikenella corrodens]] and [[Peptostreptococcus species]], especially if recent bite or other oral flora contamination
	** [[Pasteurella multocida]], after cat bite		**[[Pasteurella multocida]], after cat bite
	** [[Capnocytophaga species]], after dog bite		**[[Capnocytophaga species]], after dog bite
	** [[Mycoplasma hominis]], with postpartum septic arthritis, recent genitourinary tract manipulation, and immunocompromise		**[[Mycoplasma hominis]], with postpartum septic arthritis, recent genitourinary tract manipulation, and immunocompromise
	* Other:		*Other:
	** [[Mycobacterium tuberculosis]] and [[non-tuberculous mycobacteria]] (especially [[Mycobacterium chelonae]] and [[Mycobacterium fortuitum]]		**[[Mycobacterium tuberculosis]] and [[non-tuberculous mycobacteria]] (especially [[Mycobacterium chelonae]] and [[Mycobacterium fortuitum]]
	** Fungal infections including [[Candida species]], [[Blastomyces dermatitidis]], [[Cryptococcus species]], [[Coccidioides immitis]], and [[Sporothrix schenckii]]		**Fungal infections including [[Candida species]], [[Blastomyces dermatitidis]], [[Cryptococcus species]], [[Coccidioides immitis]], and [[Sporothrix schenckii]]
	** Viral infections including [[HIV]], [[hepatitis B virus]], [[hepatitis C virus]], [[parvovirus B19]], and alphaviruses including [[chikungunya virus]]		**Viral infections including [[HIV]], [[hepatitis B virus]], [[hepatitis C virus]], [[parvovirus B19]], and alphaviruses including [[chikungunya virus]]

			== Management ==

			* Empiric: typically treated empirically with [[vancomycin]] and [[ceftriaxone]] empirically, followed by directed therapy
			* Gonococcal
			** [[Ceftriaxone]] 1 g IV daily for 7 to 14 days
			** Don't forget [[azithromycin]] 1 g po once
			* Non-gonococcal:
			** Treated with targetted antimicrobials
			** Duration is traditionally 4 weeks, including at least 2 weeks of parenteral antimicrobials
			** However, can do as short as 2 weeks for hand and wrist septic arthritis

	[[Category:Infectious diseases]]		[[Category:Infectious diseases]]

Aidan: added Microbiology

2020-07-06T20:55:57Z

added Microbiology

← Older revision		Revision as of 20:55, 6 July 2020
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	[[Category:Bone and joint infections]]		[[Category:Bone and joint infections]]

			== Background ==

			=== Microbiology ===

			* Gonococcal: [[Neisseria gonorrhoeae]], more common in young, sexually active adults
			* Non-gonococcal bacterial:
			** [[Staphylococcus aureus]], in immunocompetent and immunocompromised people as well as those at risk for [[Staphylococcus aureus bacteremia]]
			** [[Group B streptococci]], more common in poorly-controlled [[diabetes]]
			** [[Streptococcus pneumoniae]], more common in patients with [[hyposplenia]]
			** [[Enterobacteriaceae]], especially if GI illness, or immunocompromised patients and those who inject drugs
			** [[Pseudomonas species]], more common in [[diabetes]], immunocompromised, trauma, or water exposures
			** [[Aeromonas species]], more common after exposure to brackish water
			** [[Salmonella species]], especially in patients with [[sickle cell disease]] or [[HIV]]
			** [[Eikenella corrodens]] and [[Peptostreptococcus species]], especially if recent bite or other oral flora contamination
			** [[Pasteurella multocida]], after cat bite
			** [[Capnocytophaga species]], after dog bite
			** [[Mycoplasma hominis]], with postpartum septic arthritis, recent genitourinary tract manipulation, and immunocompromise
			* Other:
			** [[Mycobacterium tuberculosis]] and [[non-tuberculous mycobacteria]] (especially [[Mycobacterium chelonae]] and [[Mycobacterium fortuitum]]
			** Fungal infections including [[Candida species]], [[Blastomyces dermatitidis]], [[Cryptococcus species]], [[Coccidioides immitis]], and [[Sporothrix schenckii]]
			** Viral infections including [[HIV]], [[hepatitis B virus]], [[hepatitis C virus]], [[parvovirus B19]], and alphaviruses including [[chikungunya virus]]

			[[Category:Infectious diseases]]

Aidan at 17:18, 13 August 2019

2019-08-13T17:18:26Z

← Older revision		Revision as of 17:18, 13 August 2019
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			[[Category:Bone and joint infections]]
	= Septic arthritis =

Aidan: Aidan moved page Bone and joint Septic arthritis to Septic arthritis without leaving a redirect

2019-08-13T17:18:12Z

Aidan moved page Bone and joint Septic arthritis to Septic arthritis without leaving a redirect

← Older revision	Revision as of 17:18, 13 August 2019
(No difference)

Maintenance script: Imported from text file

2019-08-11T18:05:48Z

Imported from text file

New page

= Septic arthritis =

← Older revision		Revision as of 21:14, 11 February 2022
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	**[[Streptococcus pneumoniae]], more common in patients with [[hyposplenia]]		**[[Streptococcus pneumoniae]], more common in patients with [[hyposplenia]]
	**[[Enterobacteriaceae]], especially if GI illness, or immunocompromised patients and those who inject drugs		**[[Enterobacteriaceae]], especially if GI illness, or immunocompromised patients and those who inject drugs
	**[[Pseudomonas ~~species~~]], more common in [[diabetes]], immunocompromised, trauma, or water exposures		**[[Pseudomonas]], more common in [[diabetes]], immunocompromised, trauma, or water exposures
	**[[Aeromonas ~~species~~]], more common after exposure to brackish water		**[[Aeromonas]], more common after exposure to brackish water
	**[[Salmonella ~~species~~]], especially in patients with [[sickle cell disease]] or [[HIV]]		**[[Salmonella]], especially in patients with [[sickle cell disease]] or [[HIV]]
	**[[Eikenella corrodens]] and [[Peptostreptococcus ~~species~~]], especially if recent bite or other oral flora contamination		**[[Eikenella corrodens]] and [[Peptostreptococcus]], especially if recent bite or other oral flora contamination
	**[[Pasteurella multocida]], after cat bite		**[[Pasteurella multocida]], after cat bite
	**[[Capnocytophaga ~~species~~]], after dog bite		**[[Capnocytophaga]], after dog bite
	**[[Mycoplasma hominis]], with postpartum septic arthritis, recent genitourinary tract manipulation, and immunocompromise		**[[Mycoplasma hominis]], with postpartum septic arthritis, recent genitourinary tract manipulation, and immunocompromise
	*Other:		*Other:
	**[[Mycobacterium tuberculosis]] and [[non-tuberculous mycobacteria]] (especially [[Mycobacterium chelonae]] and [[Mycobacterium fortuitum]]		**[[Mycobacterium tuberculosis]] and [[non-tuberculous mycobacteria]] (especially [[Mycobacterium chelonae]] and [[Mycobacterium fortuitum]]
	**Fungal infections including [[Candida ~~species~~]], [[Blastomyces dermatitidis]], [[Cryptococcus ~~species~~]], [[Coccidioides immitis]], and [[Sporothrix schenckii]]		**Fungal infections including [[Candida]], [[Blastomyces dermatitidis]], [[Cryptococcus]], [[Coccidioides immitis]], and [[Sporothrix schenckii]]
	**Viral infections including [[HIV]], [[hepatitis B virus]], [[hepatitis C virus]], [[parvovirus B19]], and alphaviruses including [[chikungunya virus]]		**Viral infections including [[HIV]], [[hepatitis B virus]], [[hepatitis C virus]], [[parvovirus B19]], and alphaviruses including [[chikungunya virus]]