Destructive Arthritis of the Hand After Diving

Destructive infectious arthritis can result after joint impact, even without obvious trauma. A previously healthy 27-year-old woman woke up with extreme pain, redness, and swelling in her left hand. Redness and swelling had progressed rapidly from the red line on the first day to the blue line on the second day, and extended farther the next day (Figure 1A). She had no fever, but …