Streptococcus pneumoniae septic arthritis complicating hip osteonecrosis in adults: case report and review of the literature.
A 42-year-old patient presented acutely with bacteremic pneumococcal pneumonia along with metastatic pneumococcal infection of the hip joint. Diagnostic evaluation revealed evidence of a pre-existing bilateral hip osteonecrosis. The osteonecrotic changes were attributed to chronic alcohol abuse and/or an old motor vehicle accident. Appropriate therapy was promptly instituted and the septic arthritis responded well, necessitating hip aspiration only once. A few months later, the patient had no permanent sequelae of the infection.
Baraboutis
Ioannis G
IG
Evaggelismos General Hospital, Athens, Greece. ioannisbaraboutis@yahoo.gr
Papastamopoulos
Vasilios
V
Skoutelis
Athanasios
A
D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001170:Arthritis, Infectious / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D010020:Osteonecrosis / Q000150:complications / Q000188:drug therapy* / Q000382:microbiology*; D010406:Penicillins / Q000008:administration & dosage; D011008:Pneumococcal Infections / Q000150:complications* / Q000188:drug therapy; D011018:Pneumonia, Pneumococcal / Q000150:complications* / Q000188:drug therapy; D020127:Recovery of Function
D000900:Anti-Bacterial Agents; D010406:Penicillins