title: Polyarticular septic arthritis in an immunocompetent patient.
abstract: Septic arthritis is an uncommon condition with an incidence of 2-3/100,000. It is clinically notable, however, as it is a rapidly destructive joint disease with significant associated morbidity and mortality. Polyarticular septic arthritis has an estimated incidence of 15% of all cases of infectious arthritis. We report a case of polyarticular septic arthritis with involvement of bilateral shoulders and wrist to highlight the importance of early diagnosis and treatment as well as the high mortality rates associated with this condition. Bilateral septic shoulder arthritis poses a challenge to treat, and its significance should not be underestimated as even with early surgical intervention and aggressive antibiotic and fluid resuscitation death is a sad but perhaps not uncommon outcome. It is therefore imperative that the diagnosis of polyarticular septic arthritis is kept prominent in the physician's mind when confronted with a patient with symptomatic polyarthralgia.
authors.affiliation: Kingston Hospital NHS Trust, UK, Kingston upon Thames, Surrey, UK. clementsjenny@hotmail.com
authors.forename: J
authors.initials: J
authors.lastname: Clements
authors.forename: A
authors.initials: A
authors.lastname: Dinneen
authors.forename: G
authors.initials: G
authors.lastname: Heilpern
mesh_terms: D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000188:drug therapy; D042241:Early Diagnosis; D006801:Humans; D007121:Immunocompetence; D008297:Male; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000188:drug therapy; D013211:Staphylococcus aureus
chemical_list: D000900:Anti-Bacterial Agents