Septic arthritis

Also called Infective arthritis or Joint infection

Septic arthritis is an infection in a joint, usually caused by bacteria that spread through the blood or enter through a wound or injection. It usually affects one large joint, such as the knee or hip. It is more likely in people with existing joint problems, an artificial joint, diabetes or a weakened immune system, and in young children.

Last updated Nov 9, 2026

What it is

It needs urgent treatment in hospital, usually with antibiotics into a vein and draining fluid from the joint.

Early treatment lowers the risk of lasting joint damage. Physiotherapy helps recovery.

Common signs

  • Sudden, intense pain in a joint
  • Swelling, redness and warmth over the joint
  • Being unable to move the joint
  • A high temperature
  • A child limping or not using a limb

How it is usually diagnosed

  • Taking fluid from the joint to test for bacteria
  • Blood tests
  • X-ray, ultrasound or MRI

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Joint fluid and blood test results
  • Scan reports
  • Surgery or procedure notes
  • Discharge letters and antibiotic plans

Questions to ask your doctor

  • How long will I need antibiotics?
  • Could the joint be damaged long term?
  • What should I watch for after going home?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • A hot, swollen, very painful joint with a fever, or a child who suddenly will not walk or use a limb: get urgent help, call 112

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources