Septic artritis

Septic arthritis

Pathogenesis
Septic arthritis 4
1. Hematogenous spread joint

2. Spread from a contiguous source of infection

joint
joint
3. Direct implantation of infection
joint
4. Post operative infection

Pathophysiology

synovium
inflammation
process
inflammation synovial membrane
fenestra synovial cell
component serum joint
Hyaruroic acid joint

Pathophysiology

process infection
inflammation bacteria
WBC PMN synovium joint
space cell joint
oxygen waste product joint fluid
enzyme
structure joint

Pathophysiology

fibrin clot joint fluid

fibrin fibrin
articular cartilage pumpling
mechanism nutrition synovial fluid
cartilage cell
waste product
metabolism cell cartilage

joint fluid joint

pain blood supply joint
hip slightly flexion, external
rotation knee slightly flexion

Age

joint

infection

< 6 month

hip joint

Escherichia coli
Streptococcal group
B

6month- 2year

hip, knee shoulder

joint

H. infleunzae

Teenage -adult

hip joint
knee

Staphylococcus
aureus
S.epidermis

Eldery or illness

Escherichia coli

Differential diagnosis
acute osteomyelitis
acute rheumatoid
arthritis
transient synovitis

acute gouty arthritis

tuberculous arthritis
acute rheumatic fever

Management
Investigation
Arthrocenthesis
hemoculture

Management
Antibiotic

Management
Adequate drainage
arthroscopic larvage

repeated arthrocentesis

rest