septic arthritis and bursae

Question 1

is septic arthritis an emergency

Answer 1

yes !

Question 2

where can the spread come from

Answer 2

• direct invasion through penetrating wound
• spread from infectious focus in adjacent soft tissue
• spread from focus of osteomyelitis in adjacent bone
• hematogenous spread

Question 3

definition of septic arthritis

Answer 3

inflammation of the joint space caused by infection

Question 4

causes of septic arthritis

Answer 4

• blood borne organism
• extension of a local infection
• direct inoculation

Question 5

bacteria for septic arthritis

Answer 5

staph aureus

streptococci

Question 6

how to diagnose septic arthritis

Answer 6

joint fluid for microscopy
blood culture
exclude crystals
X-ray

Question 7

treatment for septic arthritis

Answer 7

presumptive treatment to cover staphylococcus aureus
FLUCLOXACILLIN (high doses)
if less than 5 years old add ceftriaxone

Question 8

what are bursae

Answer 8

Bursae are small fluid-filled sacs that reduce friction between moving parts in your body’s joints.

Question 9

what is reactive arthritis

Answer 9

sterile inflammation, hypothesized to be secondary to a dysregulatory immune response from an antecedent infection

Question 10

symptoms of PVL producing staph aureus

Answer 10

• skin infections
• necrotising pneumonia
• invasive infections

Question 11

treatment for PVL producing staph aureus

Answer 11

flucloxacillin, clindamycin, linezolid