title: A case of acute septic arthritis hip caused by Brucella melitensis in an adolescent child.
abstract: Brucella is among the most common zoonotic diseases affecting humans. Although musculoskeletal involvement is seen in a large proportion of patients, the disease is often diagnosed late or misdiagnosed due to its subtle nature and rarity, and lack of awareness among clinicians. In this report, a 12-year-old girl was diagnosed with acute septic arthritis of the hip based on clinico-radiological features, and managed with standard treatment, including arthrotomy. However, the child did not respond to the treatment. Based on the histopathology and local endemicity, Brucella was suspected, and confirmed after serological testing. The child subsequently responded to treatment and, at latest follow-up at 1 year, had a full painless range of motion, with no relapse.
authors.affiliation: Department of Orthopaedics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
authors.forename: Divesh
authors.initials: D
authors.lastname: Jalan
authors.affiliation: Department of Orthopaedics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
authors.forename: Abhay
authors.initials: A
authors.lastname: Elhence
authors.affiliation: Department of Pathology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
authors.forename: Poonam
authors.initials: P
authors.lastname: Elhence
authors.affiliation: Department of Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
authors.forename: Princi
authors.initials: P
authors.lastname: Jain
mesh_terms: D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D017347:Brucella melitensis; D002006:Brucellosis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D002648:Child; D004318:Doxycycline / Q000627:therapeutic use; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging; D005839:Gentamicins / Q000627:therapeutic use; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D010019:Osteomyelitis / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D011859:Radiography; D012293:Rifampin / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D005839:Gentamicins; D004318:Doxycycline; D012293:Rifampin