A 45-year-old man has an acute painful erythematous right knee. Synovial fluid: WBC 65,000 (90% PMNs), Gram+ cocci in clusters. Most appropriate

Question

A 45-year-old man has an acute painful erythematous right knee. Synovial fluid: WBC 65,000 (90% PMNs), Gram+ cocci in clusters. Most appropriate management?

Accepted Answer

IV antibiotics (cefazolin) plus serial aspirations or surgical washout

Answer

Oral colchicine and NSAIDs as the preferred next management strategy

Answer

Observation and repeat aspiration in 1 week as the next step

Answer

Oral ciprofloxacin x 2 weeks as the preferred next management strategy

Answer

Intra-articular corticosteroid as the preferred next step

Septic arthritis (adult) — MCCQE Part 1 MCQ

A 45-year-old man has an acute painful erythematous right knee. Synovial fluid: WBC 65,000 (90% PMNs), Gram+ cocci in clusters. Most appropriate management?