1. < Bones, Joints & Muscles

Gout and septic arthritis of the knee

Posted by gem13 @gem13, Jan 4, 2024

Hello. After having bilateral Cortisone knee injections, I developed gout, followed by septic arthritis in the knee. I had surgery to debride the knee joint and I’m on infusion antibiotics for 24 days. Has anyone experienced this after a Cortisone injection? I wonder how the infection was introduced into my joint.

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pb50 | @pb50 | Jan 4, 2024

I assume they followed standard infection prevention protocols before the cortisol? I wonder if the knee infection wasn’t already in place before the injection. Maybe the needle drug that bacteria through more tissue on its way in and out. You will likely never know for sure.

I had gout once and It was dreadful. I tested negative for it tho. Later when I was diagnosed with rheumatoid arthritis, my Doc surmised that the ”gout” was likely my first RA symptom.

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covidstinks2023 | @covidstinks2023 | Jan 5, 2024

gem13, God Bless You! Here's a thought although different, but, hopefully could help. My husband is very prone to gout (nothing like what you are experiencing or due to cortisone injection & infection) and it is painful. He can get it in any joint. He is daily on Allopurinol 300 mg and if he has a flare up, he is to take colchicine (Sp?) which works within hours. Both of these are prescription meds. His dad had gout and gout is a form of arthritis. Pork, Shrimp and orange juice can be culprits for flareups in a lot of people. I'm so sorry that you are experiencing this. I can't imagine how much pain you are in. I know it is frustrating. Praying for you.

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gem13 | @gem13 | Jan 5, 2024
In reply to @covidstinks2023 "gem13, God Bless You! Here's a thought although different, but, hopefully could help. My husband is..." + (show)
@covidstinks2023

gem13, God Bless You! Here's a thought although different, but, hopefully could help. My husband is very prone to gout (nothing like what you are experiencing or due to cortisone injection & infection) and it is painful. He can get it in any joint. He is daily on Allopurinol 300 mg and if he has a flare up, he is to take colchicine (Sp?) which works within hours. Both of these are prescription meds. His dad had gout and gout is a form of arthritis. Pork, Shrimp and orange juice can be culprits for flareups in a lot of people. I'm so sorry that you are experiencing this. I can't imagine how much pain you are in. I know it is frustrating. Praying for you.

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Thank you for your kind response. I appreciate the feedback and experience. I hope your husband is gout-free and pain-free currently. It’s no fun.

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gem13 | @gem13 | Jan 5, 2024
In reply to @pb50 "I assume they followed standard infection prevention protocols before the cortisol? I wonder if the knee..." + (show)
@pb50

I assume they followed standard infection prevention protocols before the cortisol? I wonder if the knee infection wasn’t already in place before the injection. Maybe the needle drug that bacteria through more tissue on its way in and out. You will likely never know for sure.

I had gout once and It was dreadful. I tested negative for it tho. Later when I was diagnosed with rheumatoid arthritis, my Doc surmised that the ”gout” was likely my first RA symptom.

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Thank you for your reply. I think after I recover from my current situation, I will check into rheumatologists.

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