Septic Arthritis: Pathogenesis and clinical findings
Notes:
- Septic Arthritis is typically monoarticular & the knee is involved in >50% of cases
- decr blood flow, impaired local immunity, potential for biofilm formation
- Typical S.A joint aspirate: opaque clarity, >50000 WBC/mm3 with >50% neutrophils, low viscosity & often a +ve culture
Microbiology:
- Bacterial infection is most common, but S.A. can also be caused by, fungi, viruses, and mycobacterium
- S. aureus = most common non-gonnococcal pathogen across all age groups
- Always consider N. gonorrhoeae in young adults
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