Journal article

Septic arthritis in children

Christopher Wall, Leo Donnan

AUSTRALIAN FAMILY PHYSICIAN | ROYAL AUSTRALIAN COLLEGE GENERAL PRACTITIONERS | Published : 2015

Abstract

BACKGROUND: Septic arthritis in children is an orthopaedic emergency that has serious consequences if not diagnosed promptly and treated effectively. The presenting symptoms include pain, non-weight bearing and fever. Inflammatory markers are raised and ultra-sonography demonstrates a joint effusion. OBJECTIVE: The purpose of this article is to provide an overview of septic arthritis in children. DISCUSSION: Definitive treatment involves surgical drainage and lavage of the joint, followed by high-dose, empirical, intravenous (IV) antibiotics. Treatment is tailored to the causative organism, if this is identified. For an uncomplicated case of septic arthritis, 2 days of IV antibiotics followe..

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