Viral arthritis
Infectious arthritis - viralViral arthritis is swelling and irritation (inflammation) of a joint caused by a viral infection.
Swelling
Swelling is the enlargement of organs, skin, or other body parts. It is caused by a buildup of fluid in the tissues. The extra fluid can lead to a ...
Causes
Arthritis may be a symptom of many virus-related illnesses. It usually disappears on its own without any lasting effects.
Arthritis
Arthritis is inflammation or degeneration of one or more joints. A joint is the area where 2 bones meet. There are more than 100 different types of...
It may occur with infection by:
- Enterovirus
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Dengue virus
Dengue virus
Dengue fever is a virus-caused disease that is spread by mosquitoes. Dengue in its mild form causes fever and a rash and lasts about a week. Severe...
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Hepatitis B
Hepatitis B
Hepatitis B is irritation and swelling (inflammation) of the liver due to infection with the hepatitis B virus (HBV). Other types of viral hepatitis ...
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Hepatitis C
Hepatitis C
Hepatitis C is a viral disease that leads to swelling (inflammation) of the liver. Other types of viral hepatitis include:Hepatitis AHepatitis BHepat...
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Human immunodeficiency virus (HIV)
Human immunodeficiency virus
Human immunodeficiency virus (HIV) is the virus that causes acquired immunodeficiency syndrome (AIDS). When a person becomes infected with HIV, the ...
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Mumps
Mumps
Mumps is a contagious disease that leads to painful swelling of the salivary glands. The salivary glands produce saliva, a liquid that moistens food...
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Rubella
Rubella
Rubella, also known as the German measles, is an infection in which there is a rash on the skin. Congenital rubella is when a pregnant woman with rub...
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Cytomegalovirus
Cytomegalovirus
Cytomegalovirus (CMV) infection is a disease caused by a type of herpes virus.
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Zika virus
Zika virus
Zika is a virus passed to humans by the bite of infected mosquitoes. Symptoms include fever, joint pain, rash, and red eyes (conjunctivitis)....
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- Epstein-Barr virus
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Ebola virus
Ebola virus
Ebola is a severe and often deadly disease caused by a virus. Symptoms include fever, diarrhea, vomiting, bleeding, and often, death. Ebola can occu...
Note: This list is not all inclusive.
It may also occur after immunization with the rubella vaccine, which is typically given to children.
While many people are infected with these viruses or receive the rubella vaccine, only a few people develop arthritis. No risk factors are known.
Symptoms
The main symptoms are joint pain and swelling of one or more joints.
Exams and Tests
A physical examination shows joint inflammation. A blood test for viruses may be performed. In some cases, a small amount of fluid may be removed from the affected joint to determine the cause of the inflammation.
Physical examination
During a physical examination, a health care provider checks your body to determine if you do or do not have a physical problem. A physical examinati...
Treatment
Your health care provider may prescribe pain medicines to relieve discomfort. You may also be prescribed anti-inflammatory medicines.
If joint inflammation is severe, aspiration of fluid from the affected joint may relieve pain.
Aspiration
Aspiration means to draw in or out using a sucking motion. It has two meanings:Breathing in a foreign object (for example, sucking food into the air...
Outlook (Prognosis)
The outcome is usually good. Most viral arthritis disappears within several days or weeks when the virus-related disease goes away.
When to Contact a Medical Professional
Contact your provider for an appointment if arthritis symptoms last longer than a few weeks.
References
Gasque P, Guillot X. Viral arthritis. In: Firestein GS, Budd RC, Gabriel SE, Koretzky GA, McInnes IB, O'Dell JR, eds. Firestein and Kelley's Textbook of Rheumatology. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 121.
Ohl CA. Infectious arthritis of native joints. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 103.
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The structure of a joint - illustration
Joints, particularly hinge joints like the elbow and the knee, are complex structures made up of bone, muscles, synovium, cartilage, and ligaments that are designed to bear weight and move the body through space. The knee consists of the femur (thigh bone) above, and the tibia (shin bone) and fibula below. The kneecap (patella) glides through a shallow groove on the front part of the lower thigh bone. Ligaments and tendons connect the three bones of the knee, which are contained in the joint capsule (synovium) and are cushioned by cartilage.
The structure of a joint
illustration
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Shoulder joint inflammation - illustration
An inflammation of the shoulder joint can cause pain and restricted joint movement.
Shoulder joint inflammation
illustration
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The structure of a joint - illustration
Joints, particularly hinge joints like the elbow and the knee, are complex structures made up of bone, muscles, synovium, cartilage, and ligaments that are designed to bear weight and move the body through space. The knee consists of the femur (thigh bone) above, and the tibia (shin bone) and fibula below. The kneecap (patella) glides through a shallow groove on the front part of the lower thigh bone. Ligaments and tendons connect the three bones of the knee, which are contained in the joint capsule (synovium) and are cushioned by cartilage.
The structure of a joint
illustration
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Shoulder joint inflammation - illustration
An inflammation of the shoulder joint can cause pain and restricted joint movement.
Shoulder joint inflammation
illustration
Review Date: 12/31/2023
Reviewed By: Jatin M. Vyas, MD, PhD, Associate Professor in Medicine, Harvard Medical School; Associate in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, MA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.