Infectious Arthritis Flashcards
Diagnostic test for Lyme disease
ELISA and western blot analysis
First line treatment for Lyme disease in adults and children
Adults = doxycycline Children = amoxicillin
Most common organism to cause septic arthritis in those with RA
Staphylococcus aureus
Pott’s disease is infectious arthritis due to what?
Tuberculosis
Clarity of joint fluid analysis seen in normal, noninflammatory, inflammatory and septic arthritis
Normal = translucent Noninflammatory = translucent Inflammatory = translucent/opaque Septic = opaque
Most common joint involved in septic arthritis
Knee
If there is gas formation in joint space and septic arthritis is suspected, what 2 bacteria do you suppose is involved?
E. Coli or C. Perfringens
PMN% joint fluid analysis seen in normal, noninflammatory, inflammatory and septic arthritis
Normal = <25 Noninflammatory = <25 Inflammatory = >50 Septic = >85
WBC in joint fluid analysis seen in normal, noninflammatory, inflammatory and septic arthritis
Normal = <200 Noninflammatory = <5000 Inflammatory = 1000 - 75000 Septic = >100,000
What pattern of arthritis is seen in Lyme disease
Migratory episodes of polyarthritis
Glucose in joint fluid analysis seen in normal, noninflammatory, inflammatory and septic arthritis
Normal = equal to blood Noninflammatory = equal to blood Inflammatory = <50 lower than blood Septic = >50 lower than blood
Skin manifestation seen in Lyme disease
Erythema migrans
Color joint fluid analysis seen in normal, noninflammatory, inflammatory and septic arthritis
Normal = colorless Noninflammatory = straw Inflammatory = yellow Septic = turbid-yellow
What nerve palsy is seen in Lyme disease?
Facial nerve palsy
Most common organism involved in septic arthritis in adults? In neonates? In children 6 mths - 2 years? In children > 2yo?
Adults = Neisseria gonorrhea
Neonates = Staphylococcus aureus and Group B Strep
6mths - 2 years = H. Influenza
>2yo = staphylococcus aureus and Group B Strep