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Updated: May 20, 2026
04:41
Knee Arthrocentesis in Adults
Published on: February 25, 2022
[Septic arthritis and gout--a case report]
1Serviço de Reumatologia, Hospitais da Universidade de Coimbra, Portugal. saramserra@hotmail.com
Acta Reumatologica Portuguesa
|July 12, 2012
Summary
This case study highlights a rare instance of septic arthritis coexisting with gout in a patient with a Staphylococcus aureus infection. The study details the diagnostic challenges and treatment of this complex joint infection.
Area of Science:
- Rheumatology
- Infectious Diseases
- Orthopedic Surgery
Background:
- Gouty arthritis and septic arthritis are distinct inflammatory joint conditions.
- Co-occurrence of gout and septic arthritis is uncommon but clinically significant.
- Traumatic injuries can serve as a portal for bacterial seeding of joints.
Observation:
- A 54-year-old male presented with acute oligoarthritis and a purulent discharge from a traumatic thumb amputation site.
- Arthrocentesis revealed purulent fluid with sodium monourate crystals and Staphylococcus aureus.
- The patient developed a cervical abscess with mediastinal extension and destruction of sternoclavicular and costochondral joints.
Findings:
- Meticillin-sensitive Staphylococcus aureus was identified as the causative agent of septic arthritis.
- The patient's presentation demonstrated the potential for rapid progression of infection.
- Concurrent presence of sodium monourate crystals suggested underlying gouty arthritis.
Implications:
- This case underscores the importance of considering septic arthritis in patients with acute joint inflammation, even with a history of gout.
- Prompt diagnosis and aggressive management are crucial to prevent severe joint destruction and systemic complications.
- Understanding the interplay between crystal-induced and infectious arthritis is vital for effective patient care.
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