At the Crossroads: Bilateral Septic Knee Arthritis in Diabetic Patients – A Comprehensive Study and Future Perspectives

Abstract

Septic arthritis of the knee is a potentially devastating acute joint condition, requiring prompt and accurate management to minimize long-term complications. This article looks at an exceptional case of bilateral septic arthritis of the knee in a 53-year-old patient with diabetes mellitus, who has no history of joint trauma. A thorough analysis of its clinical symptomatology, radiological results and laboratory tests. Direct examination of joint fluid is particularly notable, showing gram-negative bacilli, although microbial cultures remain negative despite repeated attempts. These results were compared with the existing literature on bilateral septic knee arthritis. Clinical implications are explored, including diagnostic challenges in diabetic patients, as well as treatment options and recommendations for future research. In conclusion, this article highlights the importance of effectively recognizing and managing rare cases of bilateral septic knee arthritis, taking into account patient specificities, such as diabetes. It provides useful information to clinicians and encourages further research in this complex area of rheumatology.