Clinical Case Database / Category: Patient Management
Septic arthritis: a medical emergency about which all foundation doctors must know
Publication details
Dr Shirley Rigby, Dr Jonathan Pinnell
Foundation Years Journal, volume 9, issue 10, p.67 (123Doc Education, London, November 2015)
Abstract
Septic arthritis is a medical emergency that all foundation doctors must know about. It typically presents as a single hot, swollen and painful joint. It is caused by infection inside the joint and can progress rapidly to destroy the joint. Even with treatment the mortality from septic arthritis is high. It is therefore vital that foundation doctors are able to recognise and manage this condition. We present a case of septic arthritis and discuss the common difficulties that doctors face.
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Authors
Dr Shirley Rigby
Rheumatology Consultant
South Warwickshire NHS Foundation Trust
Lakin Road
Warwick
CV34 5BW
Shirley.Rigby@swft.nhs.uk
Dr Jonathan Pinnell (Corresponding author)
Clinical Education Fellow
Undergraduate Medical Education
South Warwickshire NHS Foundation Trust
Lakin Road
Warwick
CV34 5BW
jonathan.pinnell2@swft.nhs.uk
References
1. García-Arias M, Balsa A, & Mola EM. Septic arthritis. Best Practice & Research Clinical Rheumatology 2011, 25(3): 407-421.
2. Watts R, Clunie G, Hall F, & Marshall T. Oxford Desk Reference Rheumatology. Oxford, United Kingdom: Oxford University Press 2013
3. Mathews et al. Management of septic arthritis: a systematic review. Annals of the rheumatic diseases 2007, 66(4): 440-445
4. Horowitz DL, Katzap E, Horowitz S, & Barilla-LaBarca ML. Approach to septic arthritis. American Family Physician 2011, 84(6): 653-660.
5. Gupta, Sturrock and Field. A prospective 2‐year study of 75 patients with adult‐onset septic arthritis. Rheumatology 2011, 40(1): 24-30
6. Tarkowski. Infectious arthritis. Best Practice & Research Clinical Rheumatology 2006, 20(6): 1029-1044
7. Mathews et al. BSR & BHPR, BOA, RCGP and BSAC Guidelines for the management of the hot swollen joint in adults. Rheumatology 2006, 1-22.
8. Surviving Sepsis Campaign. Survive Sepsis the official training programme of the Surviving Sepsis Campaign. 2nd Ed. 2009
Disclaimers
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
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The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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