Case of left hip acute pediatric septic arthritis - polymicrobial etiology
Keywords:Septic arthritis, MRSA, Staphylococcus epidermidis, Staphylococcus lugdunensis
Septic arthritis is a true orthopedic emergency, involving a severe bacterial, viral, or fungal joint infection that triggers inflammation and the degeneration of joint tissues. It typically affects joints such as the knee, hip, shoulder, or wrist. Early diagnosis and treatment are crucial to avoid long-term complications. Herein, we describe the case of an 8-year-old male patient who presented with complaints of spontaneous onset of hip pain and an abnormal gait. The patient was diagnosed with left hip septic arthritis and underwent a left hip arthrotomy under general anesthesia (GA). The patient was administered intravenous antibiotics for 21 days while being kept on non-weight-bearing mobilization. After 3 weeks, the patient's intravenous antibiotics were switched to oral antibiotics for the next 3 weeks. On the second follow-up visit, the patient showed significant improvement, with laboratory findings within normal limits.
Mathews CJ, Weston VC, Jones A, Field M, Coakley G. Bacterial septic arthritis in adults. The Lancet. 2010;375(9717):846-55.
Ross JJ. Septic arthritis of native joints. Infect Dis Clin. 2017;31(2):203-18.
Sreenivas T, Nataraj AR, Menon J. Acute hematogenous septic arthritis of the knee in adults. Eur J Orthop Surg Traumatol. 2013;23:803-7.
Al Saadi MM, Al Zamil FA, Bokhary NA, Al Shamsan LA, Al Alola SA, Al Eissa YS. Acute septic arthritis in children. Pediatrics Int. 2009;51(3):377-80.
Kariminasab MH, Shayesteh AM, Sajadi SM. Surgical intervention for treatment of septic arthritis in infancy and childhood; a retrospective study.
Pediatric Septic Arthritis: Background, Etiology, Epidemiology. Pediatric Septic Arthritis: Background, Etiology, Epidemiology. 2019. Available at: https://emedicine.medscape.com/ article/970365-overview. Accessed on 13 June 2023.
Orthopedics BSMV. Hip Septic Arthritis - Pediatric - Pediatrics - Orthobullets. Hip Septic Arthritis – Pediatric. 2023. Available at: https://www.ortho bullets.com/pediatrics/4032/hip-septic-arthritis--pediatric. Accessed on 13 June 2023.
McKamy S, Hernandez E, Jahng M, Moriwaki T, Deveikis A, Le J. Incidence and risk factors influencing the development of vancomycin nephrotoxicity in children. J Pediatrics. 2011;158(3):422-6.
Singh R, Ray P, Das A, Sharma M. Penetration of antibiotics through Staphylococcus aureus and Staphylococcus epidermidis biofilms. J Antimicrob Chemotherap. 2010;65(9):1955-8.
Ramos-Martín V, Paulus S, Siner S, Scott E, Padmore K, Newland P, et al. Population pharmacokinetics of teicoplanin in children. Antimicrob Agents Chemotherap. 2014;58(11):6920-7.
Sánchez A, López-Herce J, Cueto E, Carrillo A, Moral R. Teicoplanin pharmacokinetics in critically ill paediatric patients. J Antimicrob Chemotherap. 1999;44(3):407-9.