Pediatric Septic Arthritis.
Acute septic arthritis is a condition with the potential for joint destruction, physeal damage, and osteonecrosis, which warrants urgent identification and treatment. The organism most frequently responsible is Staphylococcus aureus; however, our understanding of pathogens continues to evolve as detection methods continue to improve. MRI has improved our ability to detect concurrent infections and is a useful clinical tool where available. The treatment course involves intravenous antibiotics followed by transition to oral antibiotics when clinically appropriate. The recommended surgical treatment of septic arthritis is open arthrotomy with decompression of the joint, irrigation, and debridement and treatment of concurrent infections.
Pediatric Orthopedics, Baylor College of Medicine, Houston, TX 77030, USA. Electronic address: NMontgomery@mdanderson.org.
Nicole I
NI
Montgomery
Orthopedic Surgery, Baylor College of Medicine, 6701 Fannin street, Ste. 660, Houston, TX 77030, USA.
Howard R
HR
Epps
D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D001170:Arthritis, Infectious / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D002648:Child; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D019637:Orthopedic Procedures / Q000379:methods*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents
Acute inflammation; Osteoarticular infection; Pyogenic arthritis; Septic arthritis