BMJ  2006;333 (25 November), doi:10.1136/bmj.333.7578.0-c

This week in the BMJ

Remember to check for polyarticular septic arthritis

Septic arthritis can occur in more than one joint and the diagnosis should not be missed, say Christodoulou and colleagues (doi: 10.1136/bmj.39020.401331.68) in their lesson of the week. The authors reflect on their management of an elderly man who presented with painful swelling of both knees and a wrist, in whom a diagnosis of reactive arthritis was initially suspected. After the patient's condition worsened, pus was aspirated from the joints and cultured; this led to the discovery of a sinister underlying disease process.


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Relevant Article

Polyarticular septic arthritis
C Christodoulou, P Gordon, and G Coakley
BMJ 2006 333: 1107-1108. [Extract] [Full Text] [PDF]




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