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Updated: May 21, 2026

Knee Arthrocentesis in Adults

Knee Arthrocentesis in Adults

Published on: February 25, 2022

Septic arthritis affecting pubic symphysis.

Sreeman Narayan Andole¹, Shradha Gupta, Michael Pelly

¹Department of Geriatrics, Hemel Hempstead Hospital, Hemel Hempstead, UK. sreeman@doctors.org.uk

BMJ Case Reports

|June 14, 2012

Summary

This summary is machine-generated.

A young man experienced severe testicular pain, fever, and sweats, diagnosed as Staphylococcus aureus septic arthritis and a retropubic abscess. Prompt intravenous flucloxacillin treatment led to complete symptom resolution.

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Last Updated: May 21, 2026

Knee Arthrocentesis in Adults

Knee Arthrocentesis in Adults

Published on: February 25, 2022

Area of Science:

Urology
Infectious Diseases
Radiology

Background:

Testicular pain can indicate serious underlying conditions requiring prompt diagnosis.
Septic arthritis and abscess formation are rare but critical complications of bacterial infections.

Observation:

A 26-year-old male presented with acute severe testicular pain, fever, and elevated inflammatory markers.
Symptoms progressed to include bilateral groin pain and night sweats, with Staphylococcus aureus identified in blood cultures.
Pelvic MRI revealed a retropubic abscess and septic arthritis of the pubic symphysis.

Findings:

Staphylococcus aureus bacteremia led to septic arthritis and a retropubic abscess in a young man.
The patient presented with non-traumatic testicular pain radiating to the abdomen and groin.
Magnetic Resonance Imaging (MRI) was crucial in diagnosing the extent of the infection.

Implications:

Early recognition and aggressive antibiotic therapy are vital for managing complex infections like septic arthritis and abscesses.
This case highlights the importance of considering deep-seated infections in patients with severe testicular and groin pain.
Intravenous flucloxacillin for 8 weeks resulted in complete resolution, demonstrating effective treatment for this severe presentation.