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Complications
By Mayo Clinic staffPrompt treatment with antibiotics combined with drainage of fluid from the joint usually resolves the infection. If treatment is delayed, however, the infection can quickly lead to joint degeneration and permanent damage.
Complications of septic arthritis often include:
- Osteoarthritis
- Joint deformity
In severe cases, the joint may need to be surgically reconstructed. If the infection affects a prosthetic joint, the prosthetic joint may need to be replaced.
- George HO, et al. Bacterial arthritis. In: Firestein GS, et al. Kelley's Textbook of Rheumatology. 8th ed. Philadelphia, Pa.: W.B. Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/202388075-9/0/1807/746.html?tocnode=55734150&fromURL=746.html#4-u1.0-B978-1-4160-3285-4..10099-3_3613. Accessed May 30, 2010.
- Garcia-De LaTorre I, et al. Gonococcal and nongonococcal arthritis. Rheumatic Disease Clinics of North America. 2009;35:63.
- Zinc BJ, et al. Bone and joint infections. In: Marx JA, et al., eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. St. Louis, Mo.:Mosby;2006. http://www.mdconsult.com/book/player/book.do?method=display&type=bookPage&decorator=header&eid=4-u1.0-B978-0-323-05472-0..00134-1--s0180&uniq=202388075&isbn=978-0-323-05472-0&sid=1002434146#lpState=open&lpTab=contentsTab&content=4-u1.0-B978-0-323-05472-0..00134-1--s0110%3Bfrom%3Dtoc%3Btype%3DbookPage%3Bisbn%3D978-0-323-05472-0. Accessed May 30, 2010.
- Ohl CA. Infectious arthritis of native joints. In: Mandell GL, et al. Mandell, Bennett, & Dolin: Principles and Practice of Infectious Diseases. 6th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2005. http://www.mdconsult.com/book/player/book.do?method=display&type=bookPage&decorator=header&eid=4-u1.0-B978-0-443-06839-3..00102-8&displayedEid=4-u1.0-B978-0-443-06839-3..00102-8--s0015&uniq=202388075&isbn=978-0-443-06839-3&sid=1002438834. Accessed May 30, 2010.
- Goldenberg DL. Septic arthritis in adults. http://www.uptodate.com/home/index.html. Accessed May 30, 2010.
- Krogstad P. Bacterial arthritis: Clinical features and diagnosis in infants and children. http://www.uptodate.com/home/index.html. Accessed May 30, 2010.
- Steckelberg JM (expert opinion). Mayo Clinic, Rochester, Minn. June 3, 2010.
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