Case report 662. Bilateral avascular necrosis of femur, with supervening suppurative arthritis of right hip.
We present a case of suppurative arthritis occurring in a patient with bilateral osteonecrosis of the femoral head. Predisposing factors were chronic alcoholism (osteonecrosis) and septicemia due to intravenous drug abuse (suppurative arthritis). Although the association of suppurative arthritis and osteonecrosis is rarely reported in the literature, the prevalence of osteonecrosis and of various factors predisposing to the development of suppurative arthritis should remind us of the possibility that a patient with osteonecrosis who develops sudden worsening of joint pain or fever may have developed suppurative arthritis of the affected joint, particularly when there is evidence of bone destruction.
Nuovo
M A
MA
Department of Pathology, Hospital for Joint Diseases Orthopaedic Institute, New York, New York 10003.
Sissons
H A
HA
Zuckerman
J D
JD
D001170:Arthritis, Infectious / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D005269:Femur / Q000473:pathology; D005271:Femur Head Necrosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D006621:Hip Joint; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging* / Q000473:pathology