INFECTIOUS ARTHRITIS (ARTHRITIS SÉPTICA)

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	INFECTIOUS ARTHRITIS (ARTHRITIS SÉPTICA)
	*INFECTIOUS ARTHRITIS (ARTHRITIS SÉPTICA)*

INFECTIOUS ARTHRITIS (ARTHRITIS SÉPTICA)

Infectious arthritis (séptica Arthritis)

Inflammation of a joint motivated by an infection.

It can affect any joint, mainly greatest, like the hip, or the exposed ones to traumatismos as in the knee or the hands.

Complications

Error of diagnosis like drop or another noninfectious affection, that the treatment with antibiotics delays.

Septicemia (passage of the infection to the blood).

Permanent damage to the joint.

Prognosis

Usually it cures with precocious diagnosis and treatment.

The recovery takes weeks or months.

A delay in the treatment can cause serious damages in the joint and loss of the movement, that requires the substitution of the joint.

Causes

Invasion of the joint by germs, generally hemófilos bacteria (estreptococos, estafilococos, gonococos, bacilli or tubercles), or fungi.

The germs are introduced:

Through the blood, like in the gonorrhea or the tuberculosis.

By proximity from infections near the joint like furúnculos, cellulitis or infection in some bone.

By direct inoculation, through injuries in the joint including perforated wounds and cutaneous abrasions.

Signs and symptoms

Chills and fever (sometimes high).

Reddening, tumefacción, sensitivity and pain (often pulsating) in the affected joint.

The pain can extend to other joints.

It is become serious with the movements.

Pain in the rumps, thighs or ingles (sometimes).

Factors of risk

Adults of more than 60 years.

Disease that reduces the resistance.

Infections of sexual transmission.

Diabetes mellitus.

Reumatoide arthritis.

Inmunosupresoras drug use.

Surgery in some joint.

Injections in the joints.

Excessive alcohol consumption.

Numerous sexual pairs.

Drug use that alters the mind, specially the injected ones.

Lack of hygiene.

Prevention

Protect the susceptible joints, as the knee, during the activities that imply injury danger.

Look for treatment for any infection quickly.

The aspirin use and other drugs intiinflamatorias steroids for other ailments could not camouflage the signs of an inflammation to articulate and to delay the diagnosis.

Diagnosis and treatment

Diagnosis

File and physical examination by a doctor.

Analysis of blood, culture of blood and culture of the extracted liquid of the infected joint.

X-rayses of the affected joints.

Treatment

General measures

The basic pillars of the treatment are:

Hospitalization (frequently) for total rest and antibiotic administration by intravenous route.

Surgery to drain the liquid or to extract the element cause of the infection.

Physical therapy after the recovery to recover the total use of the infected joint.

Medication

His doctor can prescribe:

Antibiotics (often intravenous).

It does not interrupt antibiotics without consulting its doctor.

The infection can return to appear after the symptoms have disappeared.

Codeine or narcotics per short periods, to alleviate the pain.

Activity

Sometimes they are necessary rules or stucco to immobilize the affected joint.

The movement delays the treatment.

Later, the fisioterapia can be necessary to recover the functions of the joint.

Return gradually to its normal activities according to are improving the symptoms.

Diet

No in special is required.

Call to the doctor if...

It happens the following thing during the disease:

The temperature raises 39,4º.

Muscular fatigue, headache, pains and sweats.

They appear inexplicable new symptoms. The drugs used in the treatment can produce indirect effect.

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