title: Septic hip presenting with dislocation as a source of occult infection in a burn patient.
abstract: An 11-year-old boy was transferred to a regional burn center after sustaining 53% TBSA burns. Initial wound cultures grew multiple organisms. Multiresistant Klebsiella was cultured from the patient's blood. When the patient indicated worsening hip pain, radiographs revealed a spontaneous hip dislocation. Immediate arthrotomy revealed left hip synovial fluid infected with Klebsiella. The patient remained afebrile and was discharged home 6 months after admission.
authors.affiliation: Department of Burns Surgery, University of California Davis Medical Center, Sacramento, California, USA.
authors.forename: Anne
authors.initials: A
authors.lastname: Kim
authors.forename: Tina L
authors.initials: TL
authors.lastname: Palmieri
authors.forename: David G
authors.initials: DG
authors.lastname: Greenhalgh
authors.forename: Michael Shay
authors.initials: MS
authors.lastname: O'Mara
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002056:Burns / Q000150:complications*; D002648:Child; D003646:Debridement; D024901:Drug Resistance, Multiple, Bacterial; D006617:Hip Dislocation / Q000209:etiology* / Q000628:therapy; D006621:Hip Joint / Q000382:microbiology*; D006801:Humans; D015378:Imipenem / Q000627:therapeutic use; D007709:Klebsiella / Q000302:isolation & purification; D007710:Klebsiella Infections / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D009788:Occupational Therapy; D010019:Osteomyelitis / Q000188:drug therapy / Q000382:microbiology; D026741:Physical Therapy Modalities; D018805:Sepsis / Q000382:microbiology* / Q000628:therapy; D013752:Tetracycline / Q000627:therapeutic use; D007507:Therapeutic Irrigation
chemical_list: D000900:Anti-Bacterial Agents; D015378:Imipenem; D013752:Tetracycline