Orthopedics - Oleksa A.P. 2006

Joint Diseases
Infectious Arthritides of Known Etiology
Typhoid Arthritis

Arthritis arises extremely rarely during the convalescent period of any type of typhoid fever. Since the microbes persist in the body for a prolonged time, arthritis may also develop much later.

Typhoid arthritis can be either serous or purulent, most commonly localizing in the hip and sacroiliac joints as well as the spine.

Serous arthritis manifests as an exudative process, responds favorably to Treatment, and resolves with full recovery of the patient.

Purulent typhoid arthritis has a severe clinical course, causes destruction of the articular Cartilage, may be accompanied by cold abscesses, and can result in joint ankylosis.

Diagnosis is based primarily on the patient's history and physical examination, as well as the detection of the typhoid bacillus in the pus, which differentiates typhoid involvement from Other types of arthritis.

Treatment involves the administration of antibacterial therapy, immobilization of the limb in a functionally advantageous position, and, following the subsidence of the acute process, comprehensive rehabilitative care. In cases of purulent involvement, treatment is protracted, and restoration of joint function should not be expected.



Last update: 10/08/2026

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