Wednesday, May 22, 2013

Non-gonococcal (septic) bacterial arthritis

Table of Contents

Alternative Names

Bacterial arthritis; Non-gonococcal bacterial arthritis


Symptoms

Symptoms usually come on quickly. There is a fever, and joint swelling that is usually in just one joint. There is also intense joint pain, which gets worse with movement.

Symptoms in newborns or infants:

  • Cries when infected joint is moved (example: diaper change causes crying if hip joint is infected)
  • Fever
  • Inability to move the limb with the infected joint (pseudoparalysis)
  • Irritability

Symptoms in children and adults:

  • Inability to move the limb with the infected joint (pseudoparalysis)
  • Intense joint pain
  • Joint swelling
  • Joint redness
  • Low fever

Chills may occur, but are uncommon.


Signs and tests
  • Aspiration of joint fluid for cell count, examination of crystals under the microscope, gram stain, and culture
  • Blood culture
  • X-ray of affected joint


Review Date: 06/09/2011
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)