Organisms associated with underlying disorders in septic arthritis
RA | S. aureus (frequently polyarticular) |
Immunocompromised/alcoholics | S. aureus, Streptococci , Gram-negatives, Listeria |
Malignancies/Diabetics | S. aureus, group B Streptococci |
Drug abuse | Pseudomonas aeruginosa S. aureus |
Dog/cat bites | Pasteurella multocida , Capnocytophaga , anaerobes |
Human bites | Eikenella , anaerobes |
Hemoglobinopathies | Streptococcus pneumoniae Salmonella spp (osteomyelitis) |
Hemochromatosis | Vibrio vulnificus (oyster-eating) Yersinia species (esp prosthetic joints) |
Postpartum women | Mycoplasma (also after genitourinary procedures) |
Hypogammaglobulinemia | Mycoplasma (can involve >1 joint), others |
Raw milk/dairy products | Brucella spp.—often involves sacroiliac joints |
Systemic lupus erythematosus (SLE)/asplenia | Encapsulated organisms ( Neisseria, Salmonella) |