A 32 year old white woman presents to the emergency department with sudden onset of a painful right knee. The pain is associated with fever, chills and immobility of the knee. She is sexually active. A knee joint aspiration reveals the following:
Turbid, yellowish-red fluid. WBC=105,000 with N90 L10, Glucose=10 mg/dL, Protein=150 mg/dL.
You would give this patient:
1. A 10 day course of Doxycycline
2. A course of IV Ceftriaxone with an optional 10 day course of Doxycycline
3. A 10 day course of Bactrim
4. Oral NSAID's and a heating pack
5. Intraarticular steroid shot with p.o. steroids and or colchicine