title: Synovial actinomycosis of the hip: case report and review.
abstract: A case of hematogenous spread of an actinomycotic granule to the left hip joint is presented. This occurred in a 62-year-old woman under immunosuppressive treatment for Wegener's disease. It was a chance finding on routine synovium biopsy during a total hip replacement. Treatment consisted of 1 g ampicillin I.M. a day for six weeks. The postoperative course was uneventful.
authors.affiliation: Department of Orthopedic Surgery, Campus St.-Jan, Genk, Belgium.
authors.forename: K
authors.initials: K
authors.lastname: Dom
authors.forename: T
authors.initials: T
authors.lastname: Pittevils
mesh_terms: D000196:Actinomycosis / Q000175:diagnosis* / Q000188:drug therapy; D000667:Ampicillin / Q000627:therapeutic use; D019644:Arthroplasty, Replacement, Hip; D016470:Bacteremia / Q000382:microbiology; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000188:drug therapy; D006621:Hip Joint / Q000382:microbiology*; D006801:Humans; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007431:Intraoperative Complications / Q000175:diagnosis; D007592:Joint Diseases / Q000188:drug therapy / Q000382:microbiology*; D008875:Middle Aged; D010406:Penicillins / Q000627:therapeutic use; D013583:Synovial Membrane / Q000382:microbiology*
chemical_list: D007166:Immunosuppressive Agents; D010406:Penicillins; D000667:Ampicillin