Related Experiment Video
Updated: Sep 22, 2025

Knee Arthrocentesis in Adults
Published on: February 25, 2022
Septic Arthritis With Superimposed Acute Gouty Arthritis in a Rheumatoid Arthritis Patient
Richard Medina-Perez1, Shadi A Baajour2, Sheyla Gonzalez1
1Internal Medicine Residency, Aventura Hospital and Medical Center, Aventura, USA.
Abstract:
Septic arthritis is a rare but serious complication of both rheumatoid and gouty arthritis and can lead to significant morbidity and even mortality. Here, we report a case of septic arthritis with bacteremia, monosodium urate crystals, and hyperuricemia in a 75-year-old male with long-standing rheumatoid arthritis. Arthrocentesis revealed gram-positive cocci representing group B streptococcus (Streptococcus agalactiae) infection and monosodium urate crystals. A diagnosis of septic arthritis with superimposed acute gouty arthritis was made and the patient was treated accordingly. Management included surgical irrigation and debridement, antibiotic therapy, and systemic glucocorticoids which resulted in a significant improvement in the patient's clinical status.
More Related Videos
Related Concept Videos
Rheumatic Heart Disease I: Introduction
Acute Pyelonephritis II: Diagnostic Studies and Management
Genome-wide Association Studies-GWAS
GWAS does not require the identification of the target gene involved in...
Acute Pyelonephritis I: Introduction
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
Rheumatic Heart Disease III: Medical Management

