Spiritual Homeopathy

Homeopathic treatment for Septic Arthritis

Septic arthritis is an infection in the joint (synovial) fluid and joint tissues. It is also known as “Infectious Arthritis.” 

Septic arthritis is the most rapid and destructive joint disease, and is associated with significant morbidity and a mortality of 10%.

This has not improved over the last 20 years, despite advances in antimicrobial therapy.

The incidence is 2–10 per 100,000 in the general population, and 30–70 per 100,000 in those with pre­existing joint disease or joint replacement.

Septic arthritis is usually due to haematogenous spread from either skin or upper respiratory tract; infection from direct puncture wounds or secondary to joint aspiration is uncommon.

Risk factors include;
  • Increasing age,
  • Pre existing joint disease (principally RA),
  • Diabetes mellitus,
  • Immunosuppression (by drugs or disease),
  • Intravenous drug misuse.

In RA, the skin is a frequent portal of entry because of maceration of skin between the toes due to joint deformity and difficulties with foot hygiene due to hand deformity. 

Infants and older adults are most likely to develop septic arthritis.

Knees are most commonly affected, but septic arthritis also can affect hips, shoulders and other joints.

The infection can quickly and severely damage the cartilage and bone within the joint, so prompt treatment is crucial. 

Causes

Infectious arthritis is a type of arthritis that occurs when bacteria or viruses, or other organisms get into the fluid between joints and multiply.

In adults, the most likely organism is Staphylococcus aureus, particularly in patients with RA and diabetes.

In young, sexually active adults, disseminated gonococcal infection occurs in up to 3% of untreated gonorrhoea, usually presenting with migratory arthralgia, low grade fever and tenosynovitis, which may precede the development of oligo­ or monoarthritis.

other factors

Painful pustular skin lesions may also be present.

Amongst the older people and intravenous drug users, Gram Negative bacilli or group B, C and G streptococci are important causes.

Group A streptococci, pneumococci, meningococci and Haemophilus influenzae are occasionally isolated. 

Types

Septic arthritis can be classified into different types based on various factors, including the causative microorganisms, affected joints, and underlying conditions. Below are the common classifications or types of septic arthritis:

1. Based on Causative Microorganisms

The type of septic arthritis can vary depending on the specific bacteria, fungi, or viruses causing the infection:

A. Bacterial Septic Arthritis (Most Common Type)

  • Staphylococcus aureus (including MRSA – Methicillin-resistant Staphylococcus aureus): The most common cause of bacterial septic arthritis. It tends to affect large joints such as the knee, hip, and shoulder.

  • Streptococcus species: Another common bacterial cause, typically affecting the knee and other large joints.

  • Neisseria gonorrhoeae: This causes gonococcal arthritis, which is more common in sexually active individuals, particularly young adults. It often affects multiple joints and presents with symptoms like skin lesions.

  • Pseudomonas aeruginosa: Often associated with individuals who have diabetes, intravenous drug users, or those with prosthetic joints.

  • Enterococcus species: Found in individuals with compromised immune systems or those who have undergone abdominal surgery.

  • Mycobacterium tuberculosis: Tuberculous arthritis is a type of septic arthritis caused by tuberculosis (TB). It tends to be a chronic infection, affecting joints like the spine (Pott’s disease).

  • Fungal Infections: Fungal causes of septic arthritis are rare but can occur in immunocompromised individuals. Candida and Aspergillus are examples.

B. Viral Septic Arthritis

Viral septic arthritis is relatively rare compared to bacterial septic arthritis, but it can occur as a result of enteroviruses, parvovirus B19, or hepatitis B and C infections.

  • Parvovirus B19: Common in children and can cause temporary arthritis.

  • Hepatitis C: Can be associated with arthritis, particularly in individuals with chronic infection.

  • Dengue virus: In regions where dengue fever is prevalent, it can sometimes cause joint pain and inflammation, resembling septic arthritis.

2. Based on Affected Joints

Septic arthritis can affect any joint in the body, but certain joints are more commonly involved.

A. Monoarticular Septic Arthritis

  • Involves only one joint. It is the most common presentation, and typically large joints like the knee, hip, shoulder, or ankle are affected.

B. Polyarticular Septic Arthritis

  • Involves multiple joints simultaneously, which is seen in cases of gonococcal arthritis (caused by Neisseria gonorrhoeae). It may affect smaller joints like the wrists, fingers, and knees.

C. Spinal Septic Arthritis (Vertebral Osteoarthritis)

  • The infection affects the spine, commonly leading to vertebral osteomyelitis or Pott’s disease (TB-related spinal infection). It may cause severe back pain, neurological deficits, and deformities.

3. Based on Underlying Conditions

Septic arthritis can also be classified based on specific risk factors or underlying conditions that predispose individuals to the infection.

A. Primary Septic Arthritis

  • Primary septic arthritis occurs without any known predisposing condition or obvious cause. It may occur in a healthy individual who becomes infected due to trauma, surgery, or spontaneous bacterial translocation (from the bloodstream to the joint).

B. Secondary Septic Arthritis

  • Secondary septic arthritis occurs in individuals with predisposing conditions that increase the risk of joint infections. Common causes include:

    • Prosthetic Joint Infections: A joint replacement or prosthetic joint can become infected, leading to prosthetic joint septic arthritis.

    • Rheumatoid Arthritis: People with autoimmune diseases like rheumatoid arthritis are more susceptible to joint infections.

    • Diabetes Mellitus: Increased susceptibility to infection due to impaired immune response and blood circulation problems.

    • Intravenous Drug Use: Increases the risk of joint infections through contaminated needles.

    • Chronic Kidney Disease: Increases the risk of infections, including septic arthritis, due to immunosuppression and dialysis use.

C. Post-Surgical Septic Arthritis

  • This type develops after surgery, particularly orthopedic surgeries, like joint replacements or fractures. It is caused by the introduction of bacteria during surgery or due to contamination from the surrounding tissues.

D. Hematogenous Septic Arthritis

  • This type of septic arthritis results from the spread of infection from other parts of the body through the bloodstream (bacteremia). The bacteria enter the joint through the blood, often affecting larger joints like the knee or hip.

Sign and Symptoms

Septic arthritis can be classified into different types based on various factors, including the causative microorganisms, affected joints, and underlying conditions. Below are the common classifications or types of septic arthritis:

1. Based on Causative Microorganisms

The type of septic arthritis can vary depending on the specific bacteria, fungi, or viruses causing the infection:

A. Bacterial Septic Arthritis (Most Common Type)

  • Staphylococcus aureus (including MRSA – Methicillin-resistant Staphylococcus aureus): The most common cause of bacterial septic arthritis. It tends to affect large joints such as the knee, hip, and shoulder.

  • Streptococcus species: Another common bacterial cause, typically affecting the knee and other large joints.

  • Neisseria gonorrhoeae: This causes gonococcal arthritis, which is more common in sexually active individuals, particularly young adults. It often affects multiple joints and presents with symptoms like skin lesions.

  • Pseudomonas aeruginosa: Often associated with individuals who have diabetes, intravenous drug users, or those with prosthetic joints.

  • Enterococcus species: Found in individuals with compromised immune systems or those who have undergone abdominal surgery.

  • Mycobacterium tuberculosis: Tuberculous arthritis is a type of septic arthritis caused by tuberculosis (TB). It tends to be a chronic infection, affecting joints like the spine (Pott’s disease).

  • Fungal Infections: Fungal causes of septic arthritis are rare but can occur in immunocompromised individuals. Candida and Aspergillus are examples.

B. Viral Septic Arthritis

Viral septic arthritis is relatively rare compared to bacterial septic arthritis, but it can occur as a result of enteroviruses, parvovirus B19, or hepatitis B and C infections.

  • Parvovirus B19: Common in children and can cause temporary arthritis.

  • Hepatitis C: Can be associated with arthritis, particularly in individuals with chronic infection.

  • Dengue virus: In regions where dengue fever is prevalent, it can sometimes cause joint pain and inflammation, resembling septic arthritis.

2. Based on Affected Joints

Septic arthritis can affect any joint in the body, but certain joints are more commonly involved.

A. Monoarticular Septic Arthritis

  • Involves only one joint. It is the most common presentation, and typically large joints like the knee, hip, shoulder, or ankle are affected.

B. Polyarticular Septic Arthritis

  • Involves multiple joints simultaneously, which is seen in cases of gonococcal arthritis (caused by Neisseria gonorrhoeae). It may affect smaller joints like the wrists, fingers, and knees.

C. Spinal Septic Arthritis (Vertebral Osteoarthritis)

  • The infection affects the spine, commonly leading to vertebral osteomyelitis or Pott’s disease (TB-related spinal infection). It may cause severe back pain, neurological deficits, and deformities.

3. Based on Underlying Conditions

Septic arthritis can also be classified based on specific risk factors or underlying conditions that predispose individuals to the infection.

A. Primary Septic Arthritis

  • Primary septic arthritis occurs without any known predisposing condition or obvious cause. It may occur in a healthy individual who becomes infected due to trauma, surgery, or spontaneous bacterial translocation (from the bloodstream to the joint).

B. Secondary Septic Arthritis

  • Secondary septic arthritis occurs in individuals with predisposing conditions that increase the risk of joint infections. Common causes include:

    • Prosthetic Joint Infections: A joint replacement or prosthetic joint can become infected, leading to prosthetic joint septic arthritis.

    • Rheumatoid Arthritis: People with autoimmune diseases like rheumatoid arthritis are more susceptible to joint infections.

    • Diabetes Mellitus: Increased susceptibility to infection due to impaired immune response and blood circulation problems.

    • Intravenous Drug Use: Increases the risk of joint infections through contaminated needles.

    • Chronic Kidney Disease: Increases the risk of infections, including septic arthritis, due to immunosuppression and dialysis use.

C. Post-Surgical Septic Arthritis

  • This type develops after surgery, particularly orthopedic surgeries, like joint replacements or fractures. It is caused by the introduction of bacteria during surgery or due to contamination from the surrounding tissues.

D. Hematogenous Septic Arthritis

  • This type of septic arthritis results from the spread of infection from other parts of the body through the bloodstream (bacteremia). The bacteria enter the joint through the blood, often affecting larger joints like the knee or hip.

What to eat 

Managing septic arthritis primarily involves medical treatments like antibiotics and sometimes surgery, but dietary changes can help support the immune system, reduce inflammation, and promote overall joint health during recovery. While a proper diet alone will not treat the infection, it can complement medical care and potentially improve outcomes.

What to Eat for Septic Arthritis

Here are some dietary recommendations that may help manage septic arthritis and support overall health during the recovery process:

1. Anti-Inflammatory Foods

Since septic arthritis involves inflammation in the joints, focusing on foods that help reduce inflammation can be beneficial.

  • Fatty Fish: Rich in omega-3 fatty acids, which are known to help reduce inflammation. Examples include:

    • Salmon

    • Mackerel

    • Sardines

    • Herring

    • Trout

  • Nuts and Seeds: These contain healthy fats that also have anti-inflammatory properties. Examples include:

    • Walnuts

    • Almonds

    • Chia seeds

    • Flaxseeds

  • Olive Oil: Rich in monounsaturated fats and antioxidants like oleocanthal, which has anti-inflammatory effects.

  • Berries: High in antioxidants such as vitamin C and flavonoids, which can help reduce inflammation and support the immune system. Examples include:

    • Blueberries

    • Strawberries

    • Raspberries

    • Blackberries

  • Turmeric: Contains curcumin, which has strong anti-inflammatory properties. You can add turmeric to soups, smoothies, or tea.

  • Ginger: Contains compounds that can help reduce inflammation. It can be added to meals, teas, or smoothies.

2. Foods Rich in Antioxidants

Antioxidants help combat oxidative stress, which can exacerbate inflammation. Including plenty of antioxidant-rich foods in the diet can support overall health and immune function.

  • Leafy Green Vegetables: Such as spinach, kale, and Swiss chard, which are high in vitamins A, C, and K, and antioxidants.

  • Colorful Vegetables: Such as carrots, bell peppers, broccoli, and tomatoes, which are high in antioxidants and vitamins.

  • Whole Grains: Brown rice, quinoa, oats, and barley contain fiber and antioxidants that support overall health and immune function.

3. Foods to Support Joint Health

Certain nutrients are especially important for maintaining joint health, which is crucial during recovery from septic arthritis.

  • Collagen-Rich Foods: Collagen is a protein that helps maintain the integrity of joints. You can find collagen in:

    • Bone broth

    • Chicken skin

    • Fish skin

    • Gelatin

  • Vitamin D: Important for bone and immune health. Sources include:

    • Fatty fish (e.g., salmon, mackerel)

    • Fortified dairy products

    • Eggs

    • Mushrooms (especially those exposed to sunlight)

  • Calcium-Rich Foods: Essential for bone health, especially since arthritis can lead to joint degeneration. Sources include:

    • Dairy products (milk, yogurt, cheese)

    • Leafy green vegetables (collard greens, kale)

    • Fortified plant-based milk (almond, soy, oat milk)

    • Tofu

  • Vitamin C: Helps with collagen production and immune function. Good sources include:

    • Citrus fruits (oranges, lemons, grapefruits)

    • Bell peppers

    • Strawberries

    • Kiwi

    • Broccoli

4. Hydration

Adequate fluid intake is essential for overall health, as dehydration can worsen joint pain and stiffness. Water helps lubricate the joints, aiding mobility and reducing discomfort. Aim to drink plenty of water throughout the day.

5. Probiotics and Gut Health

Since septic arthritis involves infection, maintaining a healthy gut microbiome is important for overall immune function. Probiotic-rich foods can support gut health and help balance the immune response.

  • Yogurt (with live active cultures)

  • Kefir

  • Kimchi

  • Sauerkraut

  • Miso

  • Pickles (fermented)

6. Foods to Avoid

Certain foods can promote inflammation and may worsen symptoms. These include:

  • Refined Carbohydrates: Such as white bread, pastries, and sugary snacks, which can increase inflammation.

  • Processed Foods: These often contain unhealthy fats, high sodium, and artificial additives that can exacerbate inflammation.

  • Red Meat: Especially processed meats like sausages and bacon, which may increase inflammation in some individuals.

  • Excessive Salt: High sodium intake can promote inflammation and worsen joint discomfort.

Diet and Regimen

Diet and Regimen for Septic Arthritis

Septic arthritis requires immediate medical attention, including antibiotics and sometimes surgery. While medical treatments are the primary method of managing the infection, a supportive diet and lifestyle regimen can aid in the recovery process by reducing inflammation, supporting the immune system, and promoting overall joint health.

Below is a diet and regimen that can complement medical treatment for septic arthritis:


Dietary Recommendations for Septic Arthritis Recovery

A balanced, anti-inflammatory diet is crucial for managing septic arthritis. Certain foods can help reduce inflammation, boost the immune system, and promote joint health. Here’s what to focus on in your diet:

1. Anti-Inflammatory Foods

These foods help combat inflammation, which is central to septic arthritis.

  • Fatty Fish: Rich in omega-3 fatty acids, which help reduce inflammation. Examples include:

    • Salmon

    • Mackerel

    • Sardines

    • Herring

    • Trout

  • Olive Oil: A good source of monounsaturated fats and antioxidants like oleocanthal, which has anti-inflammatory effects. Use extra virgin olive oil for cooking or as a salad dressing.

  • Nuts and Seeds: Walnuts, flaxseeds, and chia seeds are rich in healthy fats, including omega-3s, which help reduce inflammation.

  • Berries: Blueberries, strawberries, raspberries, and blackberries are high in antioxidants and vitamin C, which help reduce oxidative stress and inflammation.

  • Leafy Green Vegetables: Vegetables like spinach, kale, and Swiss chard are rich in vitamins A, C, and K, which help reduce inflammation and support overall immune function.

  • Turmeric and Ginger: These spices contain powerful anti-inflammatory compounds like curcumin (turmeric) and gingerol (ginger). Add turmeric to soups, smoothies, and curries, or brew ginger tea.

  • Whole Grains: Oats, brown rice, quinoa, and barley provide fiber, which supports gut health and reduces inflammation.

2. Joint-Health Supporting Foods

Certain nutrients are important for maintaining joint health and supporting recovery.

  • Collagen-Rich Foods: Collagen helps maintain the integrity of joints and may assist in healing. Bone broth, chicken skin, and fish skin are good sources of collagen.

  • Vitamin D: Vital for bone and immune health. Foods rich in vitamin D include:

    • Fatty fish (salmon, mackerel)

    • Fortified dairy products (milk, yogurt)

    • Eggs

    • Mushrooms exposed to sunlight

  • Calcium: Essential for bone strength. Incorporate calcium-rich foods like:

    • Dairy products (milk, yogurt, cheese)

    • Fortified plant-based milk (almond milk, soy milk)

    • Tofu

    • Leafy greens (kale, collard greens)

  • Vitamin C: Supports collagen production and immune function. Foods high in vitamin C include:

    • Citrus fruits (oranges, lemons)

    • Strawberries

    • Kiwi

    • Bell peppers

    • Broccoli

3. Probiotics and Gut Health

Gut health is essential for immune function, so consider incorporating probiotic-rich foods into your diet to maintain a healthy gut microbiome.

  • Yogurt (with live active cultures)

  • Kefir

  • Kimchi

  • Sauerkraut

  • Miso

  • Pickles (fermented)

4. Hydration

Adequate hydration is crucial to help flush toxins, maintain joint lubrication, and support the body’s healing process.

  • Drink plenty of water throughout the day.

  • Herbal teas (e.g., ginger tea, green tea) are hydrating and can offer additional anti-inflammatory benefits.

5. Foods to Avoid

Some foods may increase inflammation and worsen symptoms of septic arthritis. Limit or avoid the following:

  • Refined Carbohydrates: White bread, pastries, sugary snacks, and soda.

  • Processed Meats: Bacon, sausages, and hot dogs, which may contribute to inflammation.

  • Excessive Salt: High sodium intake can promote inflammation. Avoid salty snacks and processed foods.

  • Trans Fats: Found in some processed foods, margarine, and baked goods, these fats increase inflammation.

  • Excessive Sugar: High sugar intake can promote inflammatory pathways in the body.


Regimen for Septic Arthritis Recovery

Alongside dietary changes, the following regimen can help with managing septic arthritis:

1. Medication and Treatment Compliance

  • Antibiotics: Septic arthritis is typically treated with antibiotics (either intravenous or oral, depending on the severity). Ensure you complete the full course of antibiotics as prescribed by your healthcare provider.

  • Pain Management: Your doctor may recommend NSAIDs (nonsteroidal anti-inflammatory drugs) to manage pain and inflammation or stronger pain relievers if needed. Always follow your doctor’s instructions.

2. Joint Rest and Protection

  • Rest the affected joint: Initially, avoid putting pressure or weight on the infected joint to allow it to heal. Using a joint splint or brace may help in some cases.

  • Avoid excessive movement: Refrain from strenuous activities that could aggravate the joint and cause further damage.

3. Physical Therapy and Mobility Exercises

  • Gentle joint exercises: Once the infection is under control and pain reduces, your doctor or physical therapist may recommend gentle stretching and mobility exercises to improve range of motion and prevent joint stiffness.

  • Strengthening exercises: As healing progresses, strengthening exercises may be introduced to help support the affected joint and prevent future issues.

4. Maintain a Healthy Weight

  • Weight management is important, as excess body weight places additional stress on your joints. Focus on a balanced diet that promotes healthy weight loss if needed.

5. Monitoring for Complications

  • Regular check-ups: Continue regular follow-up appointments with your healthcare provider to monitor your recovery. This may include blood tests, joint aspirates (if needed), and imaging (like X-rays or MRI) to assess the joint for damage or infection spread.

6. Mental and Emotional Health

  • Stress management: Chronic pain and long recovery times can affect your emotional well-being. Practice relaxation techniques, mindfulness, or meditation to manage stress.

  • Support network: Engage in discussions with a support group or talk to a counselor if you feel overwhelmed by your recovery journey.

Why Choose Homeopathy?

Homeopathy offers natural and holistic healing, treating the root cause of ailments without side effects. It strengthens the body’s defense system, is gentle for all ages, and personalized to each individual’s needs. Choose homeopathy for safe, effective, and long-lasting health solutions.

Spiritual Homeopathy: Your Path to Natural Healing

At Spiritual Homeopathy, where we believe in the power of holistic healing and personalized care. Our mission is to provide compassionate and effective homeopathic treatment to help you achieve optimal health and well-being. With a focus on addressing the root cause of illness and promoting harmony between mind, body, and spirit, we are dedicated to guiding you on your journey towards vibrant health and vitality.

Why Choose Spiritual Homeopathy?

At Spiritual Homeopathy, we offer a unique approach to healing that integrates traditional homeopathic principles with a deep understanding of the spiritual aspects of health. Our team of experienced homeopathic practitioners combines expertise with empathy, ensuring that you receive the highest standard of care tailored to your individual needs.

Our Approach to Treatment

We believe that true healing occurs when all aspects of a person—physical, emotional, and spiritual—are in balance. That’s why our treatment approach goes beyond simply addressing symptoms to identify and treat the underlying imbalances contributing to your health concerns. By addressing the root cause of illness and supporting your body’s innate healing ability, we empower you to achieve lasting health and vitality.

Services We Offer

Consultations: Our experienced best homeopathy doctors in Hyderabad offer comprehensive consultations to assess your health concerns, medical history, and individual needs.we also take online consultation and We take the time to listen to your story, understand your unique health goals, and develop personalized treatment plans tailored to your specific needs.

Remedies: At Spiritual Homeopathy, we provide a wide range of homeopathic remedies carefully selected to address a variety of health conditions. From acute ailments to chronic diseases, our remedies are safe, gentle, and effective, offering natural relief without the side effects often associated with conventional medications.

Follow-Up Care: We believe in the importance of ongoing support and monitoring throughout your healing journey. Our team is dedicated to providing regular follow-up care to track your progress, adjust treatment as needed, and ensure that you are on the path to optimal health and well-being.

Our Commitment to You

At Spiritual Homeopathy, your health and wellness are our top priorities. We are committed to providing you with compassionate care, personalized treatment, and the support you need to achieve your health goals. Whether you are seeking relief from a specific health concern or simply looking to optimize your overall well-being, we are here to support you every step of the way.

Apis Mellifica:

  • Used for swelling of joint with synovitis also synovial effusion, septic arthritis, red hot swollen joint , pain on slightest either pressure or motion, gout , rheumatoid arthritis , post viral arthritis and arthralgia.

Arnica Montana:

  • Use in blunt injury also trauma, sore unimpressive bruised sensation with swelling concussion and contusion call for this remedy.

Bryonia Alba:

  • Generally, Stiffness and pain with hot swelling, redness of joints with stitching and tearing pain aggravation on least motion every spot is painful on slightest pressure.

Hypericum Perfoliatum:

  • This is the remedy for degenerative changes of joints involving nerves, sciatica, coccygodynia, cervical and lumbar spondylosis with nerve compression, additionally tingling burning and numb sensation with lancinating pain calls for the remedy, darting pain of shoulders , cramps in calf muscles, pain in tips of toes also fingers, sensation of pressure along the ulnar side if arm.

Other remedies:

  • Rhus Toxicodendron
  • Ledum Palustre
  • Bellis Perennis
  • Belladonna 
  • Consult the Best Homeopathy Doctors in India at Spiritual Homeopathy Clinics, Hyderabad

    We offer both in-clinic and online consultations, specializing in chronic ailments such as thyroid issues, diabetes, sexology problems, dermatology complaints, gastric issues, rheumatoid and osteoarthritis, respiratory complaints, migraines, and more. Our best homeopathy doctors in Hyderabad provides personalized care and has treated patients from over 60 countries, including India, Nepal, Bhutan, UAE, Saudi Arabia, Kuwait, Canada, England, Holland, China, Sri Lanka, Germany, France, USA, UK, Australia, New Zealand, Russia, Afghanistan, Myanmar, and many other Asian and European countries. We also specialize in Homeopathy treatment for kids and children.

What is Septic Arthritis ?

Septic arthritis is an infection in the joint (especially synovial) fluid and joint tissues. It is also known as “Infectious Arthritis.”

Homeopathic Medicines used by Homeopathic Doctors in treatment of Septic Arthritis ?

  • Apis Mellifica
  • Arnica Montana
  • Bryonia Alba
  • Hypericum Perfoliatum
  • Rhus Toxicodendron
  • Ledum Palustre

What is the most common cause Septic Arthritis ?

The most likely organism is Staphylococcus aureus.

What are the symptoms of Septic Arthritis ?

  • Severe pain that worsens with movement
  • Swelling of the joint
  • Warmth and redness around the joint
  • Fever

  • Chills
  • Fatigue
  • Weakness

 

 

 

Reference

  • Davidson’s Principles and Practice of Medicine (22nd edition) Ch. 25
  1. https://www.mayoclinic.org/diseases-conditions/bone-and-joint-infections/diagnosis-treatment/drc-20350760
  2. https://www.healthline.com/health/septic-arthritis#treatments
  3. https://www.stanfordchildrens.org/en/topic/default?id=septic-infectious-arthritis-90-P01730
  4. https://atomictherapy.org/arthritis/