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Bacterial arthritis

MedGen UID:
308434
•Concept ID:
C1692886
•
Disease or Syndrome
Synonyms: Arthritides, Bacterial; Arthritis, Bacterial; Arthritis, Septic; Bacterial Arthritides; Bacterial Arthritis; Septic Arthritis
SNOMED CT: Arthritis due to bacterial infection (48245008); Bacterial arthritis (48245008); Septic arthritis (48245008)
 
Monarch Initiative: MONDO:0004471

Definition

The inflammation of one or more joints caused by a bacterial infection within the joint space. Symptoms include pain, stiffness, and decreased range of motion in the affected joint. [from NCI]

Professional guidelines

PubMed

Peripheral Bacterial Septic Arthritis: Review of Diagnosis and Management.
Hassan AS, Rao A, Manadan AM, Block JA
J Clin Rheumatol 2017 Dec;23(8):435-442. doi: 10.1097/RHU.0000000000000588. PMID: 28926460
Clinical aspects, outcome assessment, and management of ankylosing spondylitis and postenteric reactive arthritis.
van der Linden S, van der Heijde D
Curr Opin Rheumatol 2000 Jul;12(4):263-8. doi: 10.1097/00002281-200007000-00005. PMID: 10910177
Recognition and management of bacterial arthritis.
Cimmino MA
Drugs 1997 Jul;54(1):50-60. doi: 10.2165/00003495-199754010-00004. PMID: 9211079

Recent clinical studies

Etiology

Infectious mimics of rheumatoid arthritis.
Sharma V, Sharma A
Best Pract Res Clin Rheumatol 2022 Mar;36(1):101736. Epub 2021 Dec 31 doi: 10.1016/j.berh.2021.101736. PMID: 34974970
Two weeks versus four weeks of antibiotic therapy after surgical drainage for native joint bacterial arthritis: a prospective, randomised, non-inferiority trial.
Gjika E, Beaulieu JY, Vakalopoulos K, Gauthier M, Bouvet C, Gonzalez A, Morello V, Steiger C, Hirsiger S, Lipsky BA, Uçkay I
Ann Rheum Dis 2019 Aug;78(8):1114-1121. Epub 2019 Apr 16 doi: 10.1136/annrheumdis-2019-215116. PMID: 30992295Free PMC Article
Approach to septic arthritis.
Horowitz DL, Katzap E, Horowitz S, Barilla-LaBarca ML
Am Fam Physician 2011 Sep 15;84(6):653-60. PMID: 21916390
Does this adult patient have septic arthritis?
Margaretten ME, Kohlwes J, Moore D, Bent S
JAMA 2007 Apr 4;297(13):1478-88. doi: 10.1001/jama.297.13.1478. PMID: 17405973
Bacterial arthritis.
Ho G Jr
Curr Opin Rheumatol 1992 Aug;4(4):509-15. PMID: 1503874

Diagnosis

Infectious mimics of rheumatoid arthritis.
Sharma V, Sharma A
Best Pract Res Clin Rheumatol 2022 Mar;36(1):101736. Epub 2021 Dec 31 doi: 10.1016/j.berh.2021.101736. PMID: 34974970
Peripheral Bacterial Septic Arthritis: Review of Diagnosis and Management.
Hassan AS, Rao A, Manadan AM, Block JA
J Clin Rheumatol 2017 Dec;23(8):435-442. doi: 10.1097/RHU.0000000000000588. PMID: 28926460
Septic Arthritis of Native Joints.
Ross JJ
Infect Dis Clin North Am 2017 Jun;31(2):203-218. Epub 2017 Mar 30 doi: 10.1016/j.idc.2017.01.001. PMID: 28366221
Approach to septic arthritis.
Horowitz DL, Katzap E, Horowitz S, Barilla-LaBarca ML
Am Fam Physician 2011 Sep 15;84(6):653-60. PMID: 21916390
Does this adult patient have septic arthritis?
Margaretten ME, Kohlwes J, Moore D, Bent S
JAMA 2007 Apr 4;297(13):1478-88. doi: 10.1001/jama.297.13.1478. PMID: 17405973

Therapy

Infectious mimics of rheumatoid arthritis.
Sharma V, Sharma A
Best Pract Res Clin Rheumatol 2022 Mar;36(1):101736. Epub 2021 Dec 31 doi: 10.1016/j.berh.2021.101736. PMID: 34974970
Two weeks versus four weeks of antibiotic therapy after surgical drainage for native joint bacterial arthritis: a prospective, randomised, non-inferiority trial.
Gjika E, Beaulieu JY, Vakalopoulos K, Gauthier M, Bouvet C, Gonzalez A, Morello V, Steiger C, Hirsiger S, Lipsky BA, Uçkay I
Ann Rheum Dis 2019 Aug;78(8):1114-1121. Epub 2019 Apr 16 doi: 10.1136/annrheumdis-2019-215116. PMID: 30992295Free PMC Article
Septic Arthritis of Native Joints.
Ross JJ
Infect Dis Clin North Am 2017 Jun;31(2):203-218. Epub 2017 Mar 30 doi: 10.1016/j.idc.2017.01.001. PMID: 28366221
Approach to septic arthritis.
Horowitz DL, Katzap E, Horowitz S, Barilla-LaBarca ML
Am Fam Physician 2011 Sep 15;84(6):653-60. PMID: 21916390
Bacterial arthritis.
Ho G Jr
Curr Opin Rheumatol 1993 Jul;5(4):449-53. doi: 10.1097/00002281-199305040-00008. PMID: 8357741

Prognosis

Septic Arthritis of Native Joints.
Ross JJ
Infect Dis Clin North Am 2017 Jun;31(2):203-218. Epub 2017 Mar 30 doi: 10.1016/j.idc.2017.01.001. PMID: 28366221
Bacterial arthritis.
Ike RW
Curr Opin Rheumatol 1998 Jul;10(4):330-4. doi: 10.1097/00002281-199807000-00009. PMID: 9725094
Bacterial arthritis.
Goldenberg DL
Curr Opin Rheumatol 1994 Jul;6(4):394-400. doi: 10.1097/00002281-199407000-00008. PMID: 8068510
Bacterial arthritis.
Ho G Jr
Curr Opin Rheumatol 1993 Jul;5(4):449-53. doi: 10.1097/00002281-199305040-00008. PMID: 8357741
Infectious arthritis.
Smith JW
Infect Dis Clin North Am 1990 Sep;4(3):523-38. PMID: 2212604

Clinical prediction guides

Determination of diagnostic value (validity) leukocyte esterase (urine dipstick strip) in differentiating inflammatory arthritis from bacterial arthritis.
Hassas Yeganeh M, Talaei M, Bazzaz AE, Rahmani K, Sinaei R, Fathi M, Shiari R, Hosseinzadeh H
Adv Rheumatol 2020 Jan 28;60(1):11. doi: 10.1186/s42358-020-0115-3. PMID: 31992368
Long-term results of bacterial septic arthritis of the wrist.
Dadras M, Böhm C, Wallner C, Wagner JM, Behr B, Lehnhardt M, Daigeler A
J Plast Reconstr Aesthet Surg 2018 Aug;71(8):1138-1145. Epub 2018 May 22 doi: 10.1016/j.bjps.2018.04.017. PMID: 29891427
Rapid exclusion of bacterial arthritis using a glucometer.
Omar M, Reichling M, Liodakis E, Ettinger M, Guenther D, Decker S, Krettek C, Suero EM, Mommsen P
Clin Rheumatol 2017 Mar;36(3):591-598. Epub 2016 Apr 12 doi: 10.1007/s10067-016-3255-4. PMID: 27071629
Bacterial arthritis due to beta-hemolytic streptococci of serogroups A, B, C, F, and G. Analysis of 23 cases and a review of the literature.
Schattner A, Vosti KL
Medicine (Baltimore) 1998 Mar;77(2):122-39. doi: 10.1097/00005792-199803000-00004. PMID: 9556703
Infectious arthritis.
Smith JW
Infect Dis Clin North Am 1990 Sep;4(3):523-38. PMID: 2212604

Recent systematic reviews

What are the best diagnostic tests for diagnosing bacterial arthritis of a native joint? : a systematic review of 27 studies.
Walinga AB, Stornebrink T, Langerhuizen DWG, Struijs PAA, Kerkhoffs GMMJ, Janssen SJ
Bone Joint J 2021 Dec;103-B(12):1745-1753. doi: 10.1302/0301-620X.103B12.BJJ-2021-0114.R1. PMID: 34847715
Arthroscopic synovectomy, irrigation, and debridement for treatment of septic ankle arthrosis: a systematic review and case series.
Mankovecky MR, Roukis TS
J Foot Ankle Surg 2014 Sep-Oct;53(5):615-9. Epub 2013 Dec 15 doi: 10.1053/j.jfas.2013.10.012. PMID: 24345707
Infections after high tibial osteotomy.
Anagnostakos K, Mosser P, Kohn D
Knee Surg Sports Traumatol Arthrosc 2013 Jan;21(1):161-9. Epub 2012 Jun 23 doi: 10.1007/s00167-012-2084-5. PMID: 22729805

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