Other Infectious Arthritides

Although mycobacteria, parasites, and fungi rarely cause arthritis, incidence has increased with increasing numbers of HIV/AIDS and other immunosuppressed patients. Mycobacterium tuberculosis arthritis occurs by hematogenous spread from the lung and is diagnosed by synovial fluid culture. The classic tuberculosis infection involves the spine and is known as Pott's disease. Thoracic vertebrae are most often involved, but a monoarticular arthritis can also occur in large, weight-bearing joints. Mild arthritides might also be caused by Giardia lamblia infection, histoplasmosis, crypto-coccosis, blastomycosis, sporotrichosis, coccidioidomycosis, actinomycetes, and atypical mycobacteria.

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