Three cases of septic arthritis following a recent arthroscopic procedure.
We report three cases of septic arthritis in patients who presented with a painful, swollen and supurative knee joint following a recent arthroscopic procedure, 8-15 days prior to attendance. In all three cases, patients presented with pain and swelling of the affected knee joint with discharge from the port sites. All were sent for washout of the affected joint and received intravenous antibiotic cover. Any patient presenting within 1 month of a recent arthroscopic procedure with pain and swelling of that joint should be presumed to have septic arthritis until proven otherwise. They must have urgent treatment in the form of joint washout and intravenous antibiotics, and receive 6 weeks oral antibiotics on discharge.
Department of Hospital Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK. jprowton@hotmail.co.uk
Joseph
J
Rowton
D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001170:Arthritis, Infectious / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D001182:Arthroscopy / Q000009:adverse effects*; D003646:Debridement / Q000379:methods; D005260:Female; D006801:Humans; D007270:Injections, Intra-Articular; D007719:Knee Joint; D008297:Male; D008875:Middle Aged; D007507:Therapeutic Irrigation
D000900:Anti-Bacterial Agents