An unusual case of hip septic arthritis due to Bacteroides fragilis in an alcoholic patient

We describe a 53-year-old alcoholic man who presented with hip septic arthritis due to Bacteroides fragilis. This arthritis involved a severe destruction of the femoral head, which was completely devitalized. Recovery was achieved after 4 months of antimicrobial therapy with imipenem/cilastatin plus...

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Bibliographic Details
Published in:Infection 1994-09, Vol.22 (5), p.353
Main Authors: Merle-Melet, M, Mainard, D, Regent, D, Dopff, C, Tamisier, J N, Ross, P, Delagoutte, J P, Gerard, A
Format: Article
Language:English
Subjects:
Alcoholism - complications
Anti-Bacterial Agents
Arthritis, Infectious - microbiology
Arthritis, Infectious - therapy
Bacteroides fragilis
Bacteroides Infections - microbiology
Bacteroides Infections - therapy
Combined Modality Therapy
Debridement
Drug Therapy, Combination - therapeutic use
Femur Head Necrosis - microbiology
Femur Head Necrosis - therapy
Hip Joint
Humans
Hyperbaric Oxygenation
Male
Middle Aged
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Summary:We describe a 53-year-old alcoholic man who presented with hip septic arthritis due to Bacteroides fragilis. This arthritis involved a severe destruction of the femoral head, which was completely devitalized. Recovery was achieved after 4 months of antimicrobial therapy with imipenem/cilastatin plus metronidazole, surgical debridement of the necrotic tissues and four sessions of hyperbaric oxygen.
ISSN:0300-8126
DOI:10.1007/BF01715547