Case of left hip acute pediatric septic arthritis - polymicrobial etiology

Authors

  • Aghosh Mathiyoth Chalil Department of Orthopaedics, Baby Memorial Hospital, Kannur, Kerala, India https://orcid.org/0009-0007-9306-4263
  • Karan K. Kurup Department of Pharm D, Baby Memorial Hospital, Kannur, Kerala, India https://orcid.org/0009-0002-3937-2875
  • Febi Eapen Department of Orthopaedics, Baby Memorial Hospital, Kannur, Kerala, India
  • Suhail Hashim Department of Orthopaedics, Baby Memorial Hospital, Kannur, Kerala, India
  • George Prince Department of Pharm D, Baby Memorial Hospital, Kannur, Kerala, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20233280

Keywords:

Septic arthritis, MRSA, Staphylococcus epidermidis, Staphylococcus lugdunensis

Abstract

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.

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Published

2023-10-26