Tab Application Banner
  • Users Online: 141
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
Year : 2011  |  Volume : 6  |  Issue : 6  |  Page : 69-74

Acute and chronic bacterial infections in rheumatology practice

Department of Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, India

Correspondence Address:
Amita Aggarwal
Department of Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014
Login to access the Email id

Source of Support: None, Conflict of Interest: None

Rights and PermissionsRights and Permissions

In tropical countries infections are an important cause of morbidity and mortality. Even in tertiary care centers, infections constitute a main cause of morbidity occurring among immunocompetent and immunosuppressed hosts. Here we review the common acute and chronic bacterial infections namely septic arthritis, tropical pyomyositis, tuberculousis, and leprosy-associated arthritis in an immunocompetent host. Septic arthritis presents as acute hot swollen joint and usually occurs in the knee caused by a Staphylococcus aureus infection. Immediate diagnostic tap followed by appropriate antibiotics and drainage results in complete cure. Tropical pyomyositis presents with fever, malaise, and muscle tenderness and/or swelling. Ultrasound will reveal altered echotexture of muscle with or without pus collection. In more than half of the patients multiple muscles are involved. This again is caused by S. aureus in majority of the cases and responds well to antibiotics and drainage. Patients with co-morbidities may have a poor outcome. Chronic monoarthritis involving knee is the most common presentation of tuberculous arthritis however, oligoarticular or polyarticular involvement is not uncommon. Constitutional symptoms or other sites of active tuberculosis are not common. Synovial histology revealing granulomas or mycobacterium bacilli is diagnostic. Leprosy can present with polyarthritis, swollen hands and feet syndrome, erythema nodosum or fever simulating vasculitis, and even lupus. Careful attention to hypoasthetic cutaneous lesions and thickened peripheral nerves may help in clinching the diagno- sis of leprosy. Rarely is pure neuritic leprosy associated with arthritis and when present may require a nerve biopsy for diagnosis. Rheumatologists need to be aware of these infections as these are potentially curable.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded58    
    Comments [Add]    

Recommend this journal