title: Clostridium perfringens hip arthritis in a haemodialysis patient.
abstract: Haemodialysis patients have acquired immunity disturbances, co-morbidities and a vascular access, factors predisposing them to infection and bacteraemia. Clostridium perfringens is an anaerobic bacterium potentially causing severe infections, including rarely septic arthritis. We report the first case of Clostridium perfringens septic arthritis in a haemodialysis patient and suggest a haematogenous spread. After rapid joint lavage combined with appropriate anti-microbial therapy, the patient recovered.
authors.affiliation: Division of Nephrology, Cliniques universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium.
authors.forename: T T
authors.initials: TT
authors.lastname: Ho
authors.forename: L
authors.initials: L
authors.lastname: Labriola
authors.forename: F
authors.initials: F
authors.lastname: Jouret
authors.forename: J C
authors.initials: JC
authors.lastname: Yombi
authors.forename: F
authors.initials: F
authors.lastname: Lecouvet
authors.forename: M
authors.initials: M
authors.lastname: Jadoul
authors.forename: N
authors.initials: N
authors.lastname: Demoulin
mesh_terms: D000328:Adult; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000382:microbiology* / Q000628:therapy; D003016:Clostridium perfringens; D003928:Diabetic Nephropathies / Q000150:complications* / Q000382:microbiology / Q000628:therapy*; D006621:Hip Joint; D006801:Humans; D008297:Male; D006435:Renal Dialysis