Septic Arthritis With Superimposed Acute Gouty Arthritis in a Rheumatoid Arthritis Patient.
Cureus ; 14(4): e24352, 2022 Apr.
Article in English | MEDLINE | ID: covidwho-1876129
ABSTRACTSeptic 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.
Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Language: English Journal: Cureus Year: 2022 Document Type: Article Affiliation country: Cureus.24352