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Isolated Septic Arthritis of the Hip Secondary to Fusobacterium necrophorum.
MedLine Citation:
PMID:  22143131     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Septic arthritis secondary to Fusobacterium necrophorum is rare and may be related to Lemierre syndrome which classically presents as pharyngitis in young adults, followed by a septicemic illness characterized by internal jugular vein thrombosis and metastatic infection. However, there were only 5 case reports of isolated septic arthritis caused by F. necrophorum in previous literature. The authors reviewed the literature and report a 24-year-old woman who delayed presentation to the emergency department and was eventually diagnosed with isolated septic arthritis of the hip caused by F. necrophorum. Her condition was complicated by severe sepsis and treated with aggressive resuscitation, vasopressor, antibiotics and an open arthrotomy with repeated drainage. Eventually, her hip bone was destroyed and she required a joint replacement.
Authors:
Yuan-Pin Hsu; Shih-Hung Tsai; Ling-Yuan Li
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-2
Journal Detail:
Title:  The American journal of the medical sciences     Volume:  -     ISSN:  1538-2990     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-6     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370506     Medline TA:  Am J Med Sci     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
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