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Thanks for contacting with your health concern
1. As water retention [knee effusion] is present, kindly see an Orthopedic surgeon for knee aspiration, which can be analyzed for the presence of bacteria, uric acid crystals or blood. [exclude most common causes: injury, overuse or chronic health conditions like
osteoarthritis, OA] and going by your history, it seems that OA could be the likely cause.
PS. although water on the knee is not usually dangerous, prolonged swelling can cause the leg muscles to weaken resulting in more chances of fall in older people.
2. As repeated shots of steroid are there, so they might have accelerated the process of articular destruction, and they might well exclude another potential complication [Baker's cyst].
3. As facing problem of
night sweats simultaneously, so one has to think of diseases which although have origin somewhere else in the body but can cause knee problems, like
- any autoimmune condition [like RA]
- Infections:
brucellosis,
Lyme disease,
tuberculosis, and gonorrhea
- Gout, bursitis, tumor [benign/malignant]
PS. The main aim of treatment will be to reduce swelling, improving function/mobility, and treating any underlying illness.