Septic Arthritis: When Joint Pain Signals an Emergency

Understanding Septic Arthritis

Septic arthritis occurs when bacteria enter a joint, causing sudden, severe inflammation.
It can follow fever, infection, or minor injury and most commonly affects the knee or hip.

Key Symptoms

  • Severe joint pain and inability to move the limb
  • Swollen, hot, and red joint
  • High fever and chills
  • Child refuses to walk or bear weight
  • General unwellness

Red Flags

  • Sudden joint swelling with fever
  • Child crying when joint is moved
  • Recent infection (ear, throat, skin)
  • Delayed medical care can lead to permanent joint damage

Diagnosis

  • Blood tests: Elevated white cells and inflammatory markers
  • Joint aspiration: To confirm infection and identify bacteria
  • Imaging: X-ray or ultrasound to assess joint space

Treatment

Emergency Hospital Care

  • IV antibiotics immediately
  • Surgical drainage if pus is present
  • Rest and physical therapy after infection clears

Hope Arthritis Foundation’s Mission

We raise awareness that not all swollen joints mean arthritis—some mean infection.
Quick recognition and referral can save a child’s joint and life.

 

Written by:
Dr. Angela Migowa, MD, PhD
Pediatric Rheumatologist & Founder, Hope Arthritis Foundation