Bacterial Arthritis of the Hip Due to Lemierre Syndrome: A Case Report.

Abstract

CASE:

A 20-year-old woman presented to the emergency department with a painful left hip. Clinical evaluation and investigation led to the diagnosis of bacterial arthritis of the left hip. After undergoing an irrigation and debridement, the patient became hypoxic and critically ill from sepsis due to Lemierre syndrome.

CONCLUSION:

Lemierre syndrome is a rare clinical scenario that may present with bacterial arthritis secondary to septic embolization. Patients have anaerobic bacteremia and diffuse septic embolization that may spread to a joint and the lungs. This syndrome has substantial morbidity and mortality.

• Authors: John J Mangan, Timothy L Tan, Kevin Freedman, Eric Levicoff
• Journal: JBJS case connector (JBJS Case Connect) 2018 Oct-Dec Vol. 8 Issue 4 Pg. e89 ISSN: 2160-3251 [Electronic] United States
• PMID: 30431478 (Publication Type: Case Reports, Journal Article)

Topics

• Arthritis, Infectious (etiology, surgery)
• Female
• Hip Joint (surgery)
• Humans
• Lemierre Syndrome (complications, diagnosis)
• Young Adult