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Pyogenic arthritis of the hip due to Campylobacter fetus--a case report
1Department of Orthopaedic Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Abstract:
Septic arthritis of the hip caused by Campylobacter fetus subsp. fetusis very rare. The authoris isolated C. fetus subsp. fetus from a specimen of the left hip. The patient was a 53-year old man with a history of heavy drinking, diabetes, and chronic hepatitis, and had been suffering from avascular necrosis of both femoral heads. It was considered that the organism invaded already damaged tissue of the joint. The patient was treated with intravenous antibiotics and later received successful total hip replacement.
Insights
Septic arthritis of the hip caused by Campylobacter fetus subsp. fetus is extremely rare. This case highlights a successful treatment involving antibiotics and total hip replacement for this unusual infection in a patient with pre-existing health conditions.
Area of Science:
- Infectious Diseases
- Orthopedic Surgery
- Microbiology
Background:
- Septic arthritis is a serious joint infection.
- Campylobacter fetus subsp. fetus is an uncommon cause of infection, particularly in joints.
- The patient presented with multiple comorbidities including heavy drinking, diabetes, and chronic hepatitis, alongside avascular necrosis of both femoral heads.
Observation:
- A rare case of septic arthritis of the left hip was diagnosed.
- The causative agent identified was Campylobacter fetus subsp. fetus.
- The infection was presumed to have occurred in pre-damaged joint tissue.
Findings:
- Isolation of Campylobacter fetus subsp. fetus from hip joint specimen confirmed the diagnosis.
- The patient received intravenous antibiotic therapy.
- Successful total hip replacement was performed following antibiotic treatment.
Implications:
- This case expands the understanding of Campylobacter fetus subsp. fetus pathogenicity.
- Highlights the importance of considering rare pathogens in immunocompromised patients with joint infections.
- Demonstrates the efficacy of a combined antibiotic and surgical approach for managing complex septic arthritis.