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Brucella Septic Hip Arthritis: A Case Report.
Rami Jahmani1, Omar Obeidat2, Dawood Yusef3
1Department of Special Surgery, Orthopedic Division, Jordan University of Science and Technology, Irbid, Jordan.
The American Journal of Case Reports
|February 19, 2021
Summary
Brucellosis can cause septic arthritis, even in children. Non-purulent hip fluid in endemic areas suggests Brucella arthritis, requiring prompt diagnosis and treatment to prevent complications.
Area of Science:
- Infectious Diseases
- Pediatrics
- Rheumatology
Background:
- Brucellosis is a significant public health concern, particularly in endemic regions.
- Musculoskeletal involvement is common in brucellosis, but septic arthritis is a rare manifestation.
- Septic arthritis requires prompt diagnosis and treatment to prevent joint damage and systemic spread.
Observation:
- A 7-year-old girl presented with severe hip pain and high-grade fever.
- Initial diagnosis was septic arthritis, treated with hip drainage, which improved pain but not fever.
- Persistent fever led to suspicion and serological confirmation of brucellosis.
Findings:
- Brucellosis was confirmed via serological testing in a pediatric patient with suspected septic arthritis.
- The hip aspirate was non-purulent, a key indicator for considering Brucella arthritis.
- The patient responded well to standard brucellosis treatment.
Implications:
- Brucella arthritis should be a key differential diagnosis for septic hip, especially in endemic areas.
- Non-purulent joint fluid in suspected septic arthritis warrants investigation for Brucella.
- Early identification and management of Brucella septic arthritis are crucial to avert severe complications.
