Infection-related arthritis

Questions discussed in this category

How would you manage a patient with strongly suspected Lyme arthritis and negative bacterial synovial fluid cultures who was started on empiric antibiotics against typical bacterial pathogens arthritis before arthrocentesis and collection of cultures?

2 Answers available

Do you routinely transition to PO antibiotics for patients with native joint septic arthritis whom have undergone washout and the organism is not S. aureus?

1 Answer available

Would you give long term antistreptococcal antibiotic prophylaxis to a patient who presents with features of poststreptococcal reactive arthritis but who also meets criteria for Acute Rheumatic Fever?

1 Answer available

Do you provide empiric doxycycline for Lyme Disease to asymptomatic patients after a tick bite who haven't developed Erythema migrans or are not sure it was an Ixodes tick?

2 Answers available

What is your approach to treatment of macrolide-sensitive localized bone/joint MAC disease?

2 Answers available

Do you recommend chronic oral suppressive antibiotics after initial intensive treatment of 6-8 weeks in patients with culture-negative prosthetic joint or bone infections with retained hardware?

1 Answer available

How do you integrate next-generation sequencing with traditional culture methods to improve the identification of fungal pathogens, especially in cases where routine cultures are negative when evaluating suspected prosthetic joint infections?

2 Answers available

What specific criteria or patient conditions would make you hesitant to use fluoroquinolones early in the treatment course for managing MSSA joint infections with oral antibiotics?

For example, baseline QT prolongation, elderly age group, or underlying heart disease?

3 Answers available

How often do you see bony erosions in patients with Lyme arthritis?

1 Answer available

How do you approach differentiating infectious vs inflammatory tenosynovitis?

1 Answer available

In patients taking biologics who are planning joint replacement and are known MRSA carriers do you perform decolonization prior to surgery?

0 Answers available

How do you approach the evaluation of patients referred for chronic lyme disease and counsel patients regarding this entity?

1 Answer available

In what situations do you check for HIV status in your workup for inflammatory arthritis?

1 Answer available

Papers discussed in this category

Clin Infect Dis,

Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA), American Academy of Neurology (AAN), and American College of Rheumatology (ACR): 2020 Guidelines for the Prevention, Diagnosis and Treatment of Lyme Disease.

The New England journal of medicine, 2013-01-17

Meningoencephalitis from Borrelia miyamotoi in an immunocompromised patient.

Expert opinion on drug safety, 2016 Jan 25

Revisiting doxycycline in pregnancy and early childhood--time to rebuild its reputation?

Arthritis and rheumatism, 1977 Jan-Feb

Lyme arthritis: an epidemic of oligoarticular arthritis in children and adults in three connecticut communities.

Science (New York, N.Y.), 1982 Jun 18

Lyme disease-a tick-borne spirochetosis?

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