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A child with septic arthritis of hip: a rarely encountered cause
A R Abdul Halim1, Y Norhamdan, R Ramliza
1Department of Orthopaedic and Traumatology, Faculty of Medicine, National University of Malaysia, Jalan Yaacob Latif, 56000 Cheras, Kuala Lumpur, Malaysia. drhalimrashid@yahoo.com
Insights
A rare case of septic arthritis in a healthy child caused by Salmonella enteritidis was successfully treated with antibiotics. The child recovered fully within a year, showing no lasting negative effects.
Area of Science:
- Pediatrics
- Infectious Diseases
- Rheumatology
Background:
- Septic arthritis is a serious joint infection, often requiring prompt medical intervention.
- While common in infants, it is rare in healthy children without predisposing factors.
Observation:
- A healthy child presented with septic arthritis.
- No underlying risk factors for infection were identified.
- Salmonella enteritidis was identified as the causative pathogen in joint tissue samples.
Findings:
- Surgical drainage of the infected joint was performed.
- A 6-week course of antibiotics, guided by culture and sensitivity, was administered.
- The patient demonstrated a dramatic clinical improvement.
Implications:
- This case highlights the possibility of Salmonella enteritidis causing septic arthritis in healthy children.
- Early diagnosis and appropriate antibiotic therapy are crucial for favorable outcomes.
- Complete recovery without long-term complications is achievable with timely treatment.
Abstract:
We report a rare case of septic arthritis in a healthy child caused by Salmonella enteritidis. No predisposing factor was detected. Salmonella enteritidis was isolated from the infected joint tissue obtained following surgical drainage. Based on the culture and sensitivity report, he was treated with a 6-week course of antibiotic. He improved dramatically without any detrimental sequelae at end of one year.
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