Abstract
Acute unexplained monarthritis from which purulent-ap-pearing but sterile synovial fluid is obtained has beendubbed pseudoseptic arthritis (1). A number of entitieshave been described that can present in this manner. Em-pirical therapy for septic arthritis is still indicated in thesepresentations, but can be discontinued when an alterna-tive explanation for the acute condition is identified. Weencountered a patient with acute knee monarthritis fromwhich we obtained seemingly purulent synovial fluid, butin whom we ultimately demonstrated a process illustrat-ing an unusual mechanism by which such a presentationmight develop.
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