ACUTE DESTRUCTIVE HIP SEPTIC ARTHRITIS IN A YOUNG ADULT PATIENT: CASE REPORT (v2)

Author:

FABIO ZANCHINI1,CIPOLLONI VALERIO2,NASTO LUIGI AURELIO3,LUCCHESI SALVATORE4,PISCOPO DAVIDE1,FUSINI FEDERICO5,VITIELLO RAFFAELE6,CACCIAPUOTI STEFANO7,POLA ENRICO1

Affiliation:

1. University of Campania "Luigi Vanvitelli", Naples, 80129 Italy

2. A. Gemelli IRCCS University Hospital, Catholic University of Rome, Largo Francesco Vito 1, 00168, Rome, Italy

3. IRCCS Istituto “G. Gaslini”, via G. Gaslini 5, 16147, Genova, Italy

4. Catholic University, Rome, Gemelli University Hospital Foundation IRCCS

5. Regina Montis Regalis Hospital, ASL CN1, Strada S. Rocchetto 99, 12084, Mondovì (CN), Italy

6. Catholic University of the Sacred Heart of Rome

7. Sacro Cuore di Gesù Fatebenefratelli Hospital, Benevento, Italy

Abstract

The Authors describe a case of rapid right hip destructive septic arthritis in a 50-year-old male patient with no previous noteworthy medical history. Patient arrived to our attention following a one week history of right hip pain. Laboratory markers and imaging at presentation were negative. However, on a follow-up examination significant joint effusion was noted and joint tap was performed. Despite wide spectrum antibiotic therapy institution, significant joint damage was observed. This required surgical femoral head excision with antibiotic loaded spacer, followed by hip arthroplasty surgery 12 weeks afterwards. Complete healing of the infection and recovery of pain-free joint motion was noted at 1 year follow-up.

Publisher

Open Medical Publishing

Subject

Orthopedics and Sports Medicine

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