Septic Arthritis
Thank you Dr. John Hollowed for a great presentation of a pain with acute onset R. shoulder and L. knee pain/swelling s/p arthrocentesis c/w infectious process (gram stain with GPC’s, WBC >200K). Patient also likely with native valve endocarditis
Teaching Points:
–Septic arthritis an orthopedic emergency! Consult ortho as patient may require surgical irrigation and debridement
–Oligoarticular or polyarticular infection occurs in approximately 20 percent of septic joint infections, usually involving two or three joints.