Septic hip dislocation in a child.
A 4-year-old girl presented with pain and disability of right side hip of about 1-week duration. High-grade fever and upper respiratory tract infection were also noted. A pelvic computed tomography scan showed a dislocated hip accompanied by a huge intrapelvic abscess. Culture of pus from the hip showed Streptococcus pneumonia. Emergency arthrotomy, drainage of abscess and reduction of hip, and immobilization with a hip spica cast were undertaken. Thereafter, intravenous antibiotics were given for 6 weeks. The infection was resolved. At a 2-year follow-up, the clinical result was fair and the radiography showed persisting hip damage.
Hua
Kuo-Shu
KS
Department of Orthopedic Surgery, Changhua Christian Hospital, Changhua, Taiwan, China.
Huang
Yun-Yi
YY
Shen
Dong-Lin
DL
Chang
Ing-Lin
IL
Chen
Shih-Jen
SJ
D001170:Arthritis, Infectious / Q000150:complications*; D002675:Child, Preschool; D004322:Drainage; D005260:Female; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000382:microbiology*; D006801:Humans; D013296:Streptococcus pneumoniae / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed