Seronegative and septic arthritis: Pathology review

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Questions

USMLE® Step 1 style questions USMLE

of complete

A 75-year-old woman presents to the emergency department for evaluation of right knee pain for the past two days. Medical history is notable for hypertension, type II diabetes mellitus, and knee osteoarthritis status post-bilateral total knee arthroplasty. Temperature is 38.5 °C (101.3 °F), blood pressure is 142/89 mmHg, pulse is 115/min, respirations are 20/min and SpO2 is 99% of room air. On physical examination, the right knee appears swollen and is tender to palpation. An arthrocentesis is performed and cultures reveal a Gram-positive coccus which is catalase-positive and coagulase-negative. Which of the following organisms was most likely identified?  

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Summary

Seronegative and septic arthritis are two different forms of arthritis, each with its causes and symptoms. Seronegative arthritis refers to a type of arthritis in which a person tests negative for rheumatoid factor (RF) and anti-cyclic citrullinated peptide (anti-CCP) antibodies, which are markers commonly associated with rheumatoid arthritis. Seronegative arthritis can be caused by a variety of conditions, including psoriatic arthritis, ankylosing spondylitis, reactive arthritis, etc.

Septic arthritis, on the other hand, is a severe form of arthritis, often caused by bacterial infections. The infection can enter the joint through a break in the skin, or from an infection in another part of the body that spreads through the bloodstream. Septic arthritis is a medical emergency and requires prompt treatment with antibiotics to prevent joint damage and systemic spread of the infection.

Sources

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Elsevier

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