| Disease |
ARTHRITIS-SEPTIC |
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| Quotation |
“ As painful as a grape stone under a dental plate” |
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| Definition |
Inflammatory arthritis caused by invasion of joints by live micro-organisms or their fragments, One of the few curable causes of arthritis. |
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| Prognosis |
Early diagnosis and treatment leads to a cure. But delay in diagnosis and starting therapy can lead to functionally damaged, and/ or chronically deformed infected joints leading to much disability. |
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| General Measures |
Rest, Local heat, Analgesics.Surgical drainageindiacted.Immediately for the Hip jointIf poor response after adequate medical therapy for 3-4 days.For joints with painful repeated reaccumulation of fluid.If there is infection in a joint with a prostheses. (It is very difficult to eradicate infection without removal of prostheses).Intra auricular antibiotics are not usually indicated, as they may onlu aggravate the arthritis. |
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| Advice to Patient |
The need for completing the therapy. |
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| Inadequate Response |
Inappropriate antibioticNeed for arthrocentesis or surgical drainage. |
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| Prevention |
Adequate antibiotic therapy in chronic bacteraemic states.Condoms and other protection against STS. |
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| Reference From |
www.medimedia.com/ortho1/161.htm |
