An unusual case of hip septic arthritis due to Bacteroides fragilis in an alcoholic patient.
We describe a 53-year-old alcoholic man who presented with hip septic arthritis due to Bacteroides fragilis. This arthritis involved a severe destruction of the femoral head, which was completely devitalized. Recovery was achieved after 4 months of antimicrobial therapy with imipenem/cilastatin plus metronidazole, surgical debridement of the necrotic tissues and four sessions of hyperbaric oxygen.
Dept. of Infectious Diseases, CHU Brabois, Vandoeuvre, France.
M
M
Merle-Melet
D
D
Mainard
D
D
Regent
C
C
Dopff
J N
JN
Tamisier
P
P
Ross
J P
JP
Delagoutte
A
A
Gerard
D000437:Alcoholism / Q000150:complications*; D000900:Anti-Bacterial Agents; D001170:Arthritis, Infectious / Q000382:microbiology* / Q000628:therapy; D001442:Bacteroides Infections / Q000382:microbiology* / Q000628:therapy; D001441:Bacteroides fragilis; D003131:Combined Modality Therapy; D003646:Debridement; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005271:Femur Head Necrosis / Q000382:microbiology* / Q000628:therapy; D006621:Hip Joint; D006801:Humans; D006931:Hyperbaric Oxygenation; D008297:Male; D008875:Middle Aged
D000900:Anti-Bacterial Agents