Septic arthritis

被引:138
作者
Garcia-Arias, Miriam [1 ]
Balsa, Alejandro [1 ]
Martin Mola, Emilio [1 ]
机构
[1] La Paz Univ Hosp, Rheumatol Unit, Madrid 28046, Spain
来源
BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY | 2011年 / 25卷 / 03期
关键词
Septic arthritis; Prosthetic joint infections; Gonococcal arthritis; Antibiotics; Joint drainage; RESISTANT STAPHYLOCOCCUS-AUREUS; NEISSERIA-GONORRHOEAE; INFECTIOUS ARTHRITIS; GONOCOCCAL ARTHRITIS; JOINT INFECTIONS; MUSCULOSKELETAL INFECTIONS; RHEUMATOID-ARTHRITIS; CLINICAL-FEATURES; SERUM RESISTANCE; THERAPY;
D O I
10.1016/j.berh.2011.02.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This article presents a review of the current approach to diagnostic and therapeutic conditions of septic arthritis. Acute septic arthritis is an uncommon, but potentially fatal, emergency. Early diagnosis as well as prompt and effective treatment are essential to avoid either irreversible joint destruction or even death. The clinical features of this condition are different ill neonates, children and adults. The definitive diagnosis of septic arthritis requires the direct demonstration of bacteria in synovial fluid Or on positive culture of the pathogen. A combination of antibiotics and the prompt removal of purulent material from the affected joint constitutes the mainstay of successful treatment. In addition, this article discusses, in particular, prosthetic joint infection and gonococcal arthritis. (C) 2011 Elsevier Ltd. All rights reserved.
引用
收藏
页码:407 / 421
页数:15
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